Provider Demographics
NPI:1275707317
Name:MORGAN COUNSELING INC.
Entity Type:Organization
Organization Name:MORGAN COUNSELING INC.
Other - Org Name:ALCOHOL DRUG SERVICES OF WASHINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THERON
Authorized Official - Middle Name:HAYDEN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHYC MA
Authorized Official - Phone:253-939-2243
Mailing Address - Street 1:4204 AUBURN WAY N
Mailing Address - Street 2:SUITE #8
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-1379
Mailing Address - Country:US
Mailing Address - Phone:253-939-2243
Mailing Address - Fax:253-859-4981
Practice Address - Street 1:4204 AUBURN WAY N
Practice Address - Street 2:SUITE #8
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-1379
Practice Address - Country:US
Practice Address - Phone:253-939-2243
Practice Address - Fax:253-859-4981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA17120500324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility