Provider Demographics
NPI:1164695276
Name:MORGAN, ROBERT CURTIS (MS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CURTIS
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 8TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-1444
Mailing Address - Country:US
Mailing Address - Phone:574-223-8565
Mailing Address - Fax:574-223-8786
Practice Address - Street 1:401 E 8TH ST STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-1444
Practice Address - Country:US
Practice Address - Phone:574-223-8565
Practice Address - Fax:574-223-8786
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INC670101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
014500OtherNCAC
INC670OtherCADAC II