Provider Demographics
NPI:1073117222
Name:MORGAN VIRTUAL PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:MORGAN VIRTUAL PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-470-8445
Mailing Address - Street 1:1511 TEXAS AVE S
Mailing Address - Street 2:PMB 233
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-3328
Mailing Address - Country:US
Mailing Address - Phone:888-360-7587
Mailing Address - Fax:979-446-0280
Practice Address - Street 1:17337 CHEVEYO CV
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-7461
Practice Address - Country:US
Practice Address - Phone:724-570-9775
Practice Address - Fax:979-446-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-29
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty