Provider Demographics
NPI:1184187726
Name:SMITH, MORGAN CHEYENNE
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CHEYENNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8883 W 100 N
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-9758
Mailing Address - Country:US
Mailing Address - Phone:765-437-9538
Mailing Address - Fax:
Practice Address - Street 1:23 S 8TH ST STE 3700
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2664
Practice Address - Country:US
Practice Address - Phone:317-645-7691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist