Provider Demographics
NPI:1689237075
Name:MORGAN, LLEWELLYN SHIELDS (LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:LLEWELLYN
Middle Name:SHIELDS
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2349
Mailing Address - Country:US
Mailing Address - Phone:214-277-9252
Mailing Address - Fax:
Practice Address - Street 1:1713 CYPRESS DR
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2349
Practice Address - Country:US
Practice Address - Phone:214-277-9252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-21
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14188101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor