Provider Demographics
NPI:1851725675
Name:MORGAN, KATHRYN MARIE (LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MARIE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 FARMINGTON CT
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-1702
Mailing Address - Country:US
Mailing Address - Phone:512-431-1889
Mailing Address - Fax:
Practice Address - Street 1:1712 EAST11TH STREET
Practice Address - Street 2:BLACKSHEAR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-2717
Practice Address - Country:US
Practice Address - Phone:512-431-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional