Provider Demographics
NPI:1619229630
Name:MORLAN COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:MORLAN COUNSELING SERVICES LLC
Other - Org Name:STEPHANIE MORLAN LPC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:MORLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:636-232-7723
Mailing Address - Street 1:4599 JLJ RANCH RD
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-3248
Mailing Address - Country:US
Mailing Address - Phone:636-232-7723
Mailing Address - Fax:866-504-3571
Practice Address - Street 1:4599 JLJ RANCH RD
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:MO
Practice Address - Zip Code:63020-3248
Practice Address - Country:US
Practice Address - Phone:636-232-7723
Practice Address - Fax:866-504-3571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004037103251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health