Provider Demographics
NPI:1013389980
Name:MORGAN, ESCARLET DEYANIRA (BS)
Entity Type:Individual
Prefix:MRS
First Name:ESCARLET
Middle Name:DEYANIRA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MRS
Other - First Name:ESCARLET
Other - Middle Name:DEYANIRA
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:275 NORTH ST
Mailing Address - Street 2:ACT TEAM
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1140
Mailing Address - Country:US
Mailing Address - Phone:914-925-5460
Mailing Address - Fax:914-925-5116
Practice Address - Street 1:275 NORTH ST
Practice Address - Street 2:ACT TEAM
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1140
Practice Address - Country:US
Practice Address - Phone:914-925-5460
Practice Address - Fax:914-925-5116
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-30
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor