Provider Demographics
NPI:1417459918
Name:MORGAN, LATASHA LENRA (MA, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:LATASHA
Middle Name:LENRA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 42ND ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-6009
Mailing Address - Country:US
Mailing Address - Phone:202-441-5293
Mailing Address - Fax:
Practice Address - Street 1:1300 CARAWAY CT
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5461
Practice Address - Country:US
Practice Address - Phone:301-882-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-01
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00276101YM0800X
DCLPC15145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health