Provider Demographics
NPI:1235786880
Name:MORGAN CONCEPCION, LCPC, LLC
Entity Type:Organization
Organization Name:MORGAN CONCEPCION, LCPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:773-466-4239
Mailing Address - Street 1:180 N MICHIGAN AVE STE 2410
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-7471
Mailing Address - Country:US
Mailing Address - Phone:773-466-4239
Mailing Address - Fax:
Practice Address - Street 1:180 N MICHIGAN AVE STE 2410
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-7471
Practice Address - Country:US
Practice Address - Phone:773-466-4239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1568830156OtherNPI
IL180.009959OtherLCPC LICENSE