Provider Demographics
NPI:1790551612
Name:ASAAD, MORGAN ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALEXANDRIA
Last Name:ASAAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12646 EVINGTON POINT DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-4060
Mailing Address - Country:US
Mailing Address - Phone:719-291-0925
Mailing Address - Fax:
Practice Address - Street 1:12646 EVINGTON POINT DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-4060
Practice Address - Country:US
Practice Address - Phone:719-291-0925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health