Provider Demographics
NPI:1891215216
Name:MORGEN, EIRAN LINDSAY
Entity Type:Individual
Prefix:
First Name:EIRAN
Middle Name:LINDSAY
Last Name:MORGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EIRAN
Other - Middle Name:LINDSAY
Other - Last Name:LAWHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1101 W MACARTHUR BLVD UNIT 231
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-4539
Mailing Address - Country:US
Mailing Address - Phone:714-907-7556
Mailing Address - Fax:
Practice Address - Street 1:242 W MAIN ST STE 200A
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-7716
Practice Address - Country:US
Practice Address - Phone:714-907-7556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100530106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist