Provider Demographics
NPI:1902550700
Name:HAIGH, MORGAN FAULKNER (LMFT)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:FAULKNER
Last Name:HAIGH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5603 E PEABODY ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2612
Mailing Address - Country:US
Mailing Address - Phone:310-717-5741
Mailing Address - Fax:
Practice Address - Street 1:15325 BURBANK BLVD
Practice Address - Street 2:SUITE A2
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411
Practice Address - Country:US
Practice Address - Phone:310-717-5741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT130477106H00000X
CA149997106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist