Provider Demographics
NPI:1811631302
Name:MORGAN-MCNEILL, IESHA
Entity Type:Individual
Prefix:
First Name:IESHA
Middle Name:
Last Name:MORGAN-MCNEILL
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 1:9304 S 223RD PL
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-2435
Mailing Address - Country:US
Mailing Address - Phone:206-990-1221
Mailing Address - Fax:
Practice Address - Street 1:9304 S 223RD PL
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-2435
Practice Address - Country:US
Practice Address - Phone:206-990-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator