Provider Demographics
NPI:1083147714
Name:WARTH, MORGAN MISCHER (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:MISCHER
Last Name:WARTH
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 BLAKE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3938
Mailing Address - Country:US
Mailing Address - Phone:713-397-4398
Mailing Address - Fax:
Practice Address - Street 1:1460 E VALLEY RD
Practice Address - Street 2:SUITE 165
Practice Address - City:BASALT
Practice Address - State:CO
Practice Address - Zip Code:81621-8411
Practice Address - Country:US
Practice Address - Phone:970-948-4415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0014248101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health