Provider Demographics
NPI:1508393638
Name:MORGAN, GISELL JOI
Entity Type:Individual
Prefix:
First Name:GISELL
Middle Name:JOI
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 1:3700 HUECO VALLEY DR APT 3601
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-5444
Mailing Address - Country:US
Mailing Address - Phone:678-767-5611
Mailing Address - Fax:
Practice Address - Street 1:3700 HUECO VALLEY DR APT 3601
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-5444
Practice Address - Country:US
Practice Address - Phone:678-767-5611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician