Provider Demographics
NPI:1073108437
Name:LANIER, MORGAN THOMAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:MORGAN
Middle Name:THOMAS
Last Name:LANIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 ROBERTS MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:FABER
Mailing Address - State:VA
Mailing Address - Zip Code:22938-2322
Mailing Address - Country:US
Mailing Address - Phone:434-964-7532
Mailing Address - Fax:
Practice Address - Street 1:4000 OLYMPIA CIR APT 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3614
Practice Address - Country:US
Practice Address - Phone:434-202-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007837101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health