Provider Demographics
NPI:1821725342
Name:MORGAN, TAWANA DIANA (CBHCM)
Entity Type:Individual
Prefix:
First Name:TAWANA
Middle Name:DIANA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:CBHCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 RENAISSANCE POINTE APT 307
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3536
Mailing Address - Country:US
Mailing Address - Phone:407-756-8530
Mailing Address - Fax:
Practice Address - Street 1:816 RENAISSANCE POINTE APT 307
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3536
Practice Address - Country:US
Practice Address - Phone:407-756-8530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker