Provider Demographics
NPI:1518110626
Name:MORNING GLORY SOLUTIONS INC
Entity Type:Organization
Organization Name:MORNING GLORY SOLUTIONS INC
Other - Org Name:FAMILY CONNECTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LMSW
Authorized Official - Phone:989-358-9393
Mailing Address - Street 1:112 S FIRST AVE
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-2812
Mailing Address - Country:US
Mailing Address - Phone:989-358-9393
Mailing Address - Fax:989-358-9390
Practice Address - Street 1:112 S FIRST AVE
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2812
Practice Address - Country:US
Practice Address - Phone:989-358-9393
Practice Address - Fax:989-358-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-03
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704107151101YM0800X
MI68010089891041C0700X
MI68010856771041C0700X
MI68010663221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1760533186OtherINDIVIDUAL NPI