Provider Demographics
NPI:1164483574
Name:MORGAN, LINDA K (LPC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:K
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6262 S SHERIDAN RD
Mailing Address - Street 2:SHADOW MOUNTAIN BEHAVIORAL HEALTH
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133
Mailing Address - Country:US
Mailing Address - Phone:918-493-3208
Mailing Address - Fax:918-497-4952
Practice Address - Street 1:6262 S SHERIDAN RD
Practice Address - Street 2:SHADOW MOUNTAIN BEHAVIORAL HEALTH
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133
Practice Address - Country:US
Practice Address - Phone:918-493-3208
Practice Address - Fax:918-497-4952
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2755101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
2022556OtherCIGNA BEHAVIORAL HEALTH