Provider Demographics
NPI:1578002150
Name:MORGAN, MATTHEW E (LPCC-S)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2649
Mailing Address - Country:US
Mailing Address - Phone:614-705-0626
Mailing Address - Fax:844-222-4587
Practice Address - Street 1:1544 VALLEY DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2649
Practice Address - Country:US
Practice Address - Phone:614-705-0626
Practice Address - Fax:866-492-0362
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1800509-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0259529Medicaid