Provider Demographics
NPI:1508290578
Name:PERUN, MORGAN CATHLEEN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:CATHLEEN
Last Name:PERUN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 NORTHCOTE CT
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-7832
Mailing Address - Country:US
Mailing Address - Phone:386-561-3131
Mailing Address - Fax:
Practice Address - Street 1:90 FOX RIDGE CT STE B
Practice Address - Street 2:
Practice Address - City:DEBARY
Practice Address - State:FL
Practice Address - Zip Code:32713-2719
Practice Address - Country:US
Practice Address - Phone:386-561-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH11413101YM0800X
FLIMT1941106H00000X
FLMH13830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist