Provider Demographics
NPI:1811556046
Name:EARLEY, MORGAN T (BS, MS, PLMHP, NCC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:T
Last Name:EARLEY
Suffix:
Gender:F
Credentials:BS, MS, PLMHP, NCC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:7239 S HARRISON HILLS DR APT 301
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-7700
Mailing Address - Country:US
Mailing Address - Phone:517-614-0634
Mailing Address - Fax:
Practice Address - Street 1:965 PATRICIA DR
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2922
Practice Address - Country:US
Practice Address - Phone:402-932-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11895101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health