Provider Demographics
NPI:1629720412
Name:MORGAN ROBERTS COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:MORGAN ROBERTS COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:205-440-3130
Mailing Address - Street 1:3 OFFICE PARK CIR STE 113
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2948
Mailing Address - Country:US
Mailing Address - Phone:205-440-3130
Mailing Address - Fax:
Practice Address - Street 1:3 OFFICE PARK CIR STE 113
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2948
Practice Address - Country:US
Practice Address - Phone:205-440-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-22
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty