Provider Demographics
NPI:1578325056
Name:MORGAN, LAURA LEA (LMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:LEA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E INDIANTOWN RD STE 310
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-5153
Mailing Address - Country:US
Mailing Address - Phone:561-628-7191
Mailing Address - Fax:
Practice Address - Street 1:900 E INDIANTOWN RD STE 310
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-5153
Practice Address - Country:US
Practice Address - Phone:561-628-7191
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2304106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist