Provider Demographics
NPI:1659714855
Name:HINTON, MORGAN ALISE (MS PSYCHOLOGY / CH)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:ALISE
Last Name:HINTON
Suffix:
Gender:F
Credentials:MS PSYCHOLOGY / CH
Other - Prefix:MS
Other - First Name:MORGAN
Other - Middle Name:ALISE
Other - Last Name:LANDRUM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS PSYCHOLOGY / CH
Mailing Address - Street 1:3407 SHAMROCK CT
Mailing Address - Street 2:
Mailing Address - City:GAUTIER
Mailing Address - State:MS
Mailing Address - Zip Code:39553-5337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3407 SHAMROCK CT
Practice Address - Street 2:
Practice Address - City:GAUTIER
Practice Address - State:MS
Practice Address - Zip Code:39553-5337
Practice Address - Country:US
Practice Address - Phone:228-497-0690
Practice Address - Fax:228-497-1363
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00018214Medicaid