Provider Demographics
NPI:1972901460
Name:MORGAN, GRETA (LPC)
Entity type:Individual
Prefix:
First Name:GRETA
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16851 W 67TH TER
Mailing Address - Street 2:APT. 379
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66217-9694
Mailing Address - Country:US
Mailing Address - Phone:785-760-0688
Mailing Address - Fax:
Practice Address - Street 1:16851 W 67TH TER
Practice Address - Street 2:APT. 379
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-9694
Practice Address - Country:US
Practice Address - Phone:785-760-0688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2713101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor