Provider Demographics
NPI:1558143321
Name:HATCH, MORGAN (LCPC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HATCH
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12438 FIRE ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-8965
Mailing Address - Country:US
Mailing Address - Phone:779-208-6657
Mailing Address - Fax:
Practice Address - Street 1:12438 FIRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-8965
Practice Address - Country:US
Practice Address - Phone:779-208-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health