Provider Demographics
NPI:1497921191
Name:MORGAN COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:MORGAN COUNSELING SERVICES INC.
Other - Org Name:ALCOHOL DRUG SERVICES OF WHASHINGTON
Other - Org Type:Other Name
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:MASTER
Authorized Official - Phone:253-848-6887
Mailing Address - Street 1:10312 120TH STREET EAST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374
Mailing Address - Country:US
Mailing Address - Phone:253-848-6887
Mailing Address - Fax:253-604-0312
Practice Address - Street 1:10312 120TH STREET EAST
Practice Address - Street 2:SUITE #3
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374
Practice Address - Country:US
Practice Address - Phone:253-848-6887
Practice Address - Fax:253-604-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA27119200324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility