Provider Demographics
NPI:1003820606
Name:MORGAN, DAV ID (MFT)
Entity Type:Individual
Prefix:
First Name:DAV ID
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2685 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5182
Mailing Address - Country:US
Mailing Address - Phone:702-368-7766
Mailing Address - Fax:702-368-2177
Practice Address - Street 1:2685 S RAINBOW BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5182
Practice Address - Country:US
Practice Address - Phone:702-368-7766
Practice Address - Fax:702-368-2177
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMFT 0240106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV880273903OtherTIN