Provider Demographics
NPI:1376257774
Name:MORGAN, ANNA KATHERINE
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:KATHERINE
Last Name:MORGAN
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 1:3526 LEANING TREE CV
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-4147
Mailing Address - Country:US
Mailing Address - Phone:318-812-8332
Mailing Address - Fax:
Practice Address - Street 1:8901 TEHAMA RIDGE PKWY STE 127-194
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-2031
Practice Address - Country:US
Practice Address - Phone:817-668-0513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional