Provider Demographics
NPI:1619503802
Name:MCKINLEY, MORGAN (LCADC, LPCA, NCC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:MCKINLEY
Suffix:
Gender:F
Credentials:LCADC, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 SARATOGA HILL RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-4381
Mailing Address - Country:US
Mailing Address - Phone:270-779-8331
Mailing Address - Fax:
Practice Address - Street 1:4917 BROWNSBORO RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-6465
Practice Address - Country:US
Practice Address - Phone:501-208-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY278546101YM0800X
KY281471101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health