Provider Demographics
NPI:1124220538
Name:GREENWOOD, MARCUS MORGAN (LPC-S)
Entity Type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:MORGAN
Last Name:GREENWOOD
Suffix:
Gender:M
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 DECKER DR STE 260
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2306
Mailing Address - Country:US
Mailing Address - Phone:972-841-0858
Mailing Address - Fax:972-591-4616
Practice Address - Street 1:580 DECKER DR STE 260
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-2306
Practice Address - Country:US
Practice Address - Phone:972-841-0858
Practice Address - Fax:972-591-4616
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health