Provider Demographics
NPI:1679327118
Name:MORGAN LEVINE THERAPY
Entity Type:Organization
Organization Name:MORGAN LEVINE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LICSW, LCSW-C
Authorized Official - Phone:202-503-4373
Mailing Address - Street 1:102 PROVIDENCE HILL RD
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3957
Mailing Address - Country:US
Mailing Address - Phone:609-317-0955
Mailing Address - Fax:
Practice Address - Street 1:1221 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5572
Practice Address - Country:US
Practice Address - Phone:202-503-4373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty