Provider Demographics
NPI:1033588033
Name:MORGAN, FAITH I
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:MORGAN
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCC
Mailing Address - Street 1:4120 DOUGLAS BLVD # 306-114
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-5936
Mailing Address - Country:US
Mailing Address - Phone:917-636-3655
Mailing Address - Fax:
Practice Address - Street 1:325 N MAPLE DR UNIT 15282
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90209-5549
Practice Address - Country:US
Practice Address - Phone:323-944-0542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-20
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional