Provider Demographics
NPI:1942695572
Name:MORGAN, DONNA K (MS, LPC-S, TA-S)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:K
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MS, LPC-S, TA-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 S. 51ST COURT SUITE G
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903
Mailing Address - Country:US
Mailing Address - Phone:479-323-2424
Mailing Address - Fax:479-308-0295
Practice Address - Street 1:2408 S. 51ST COURT SUITE G
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903
Practice Address - Country:US
Practice Address - Phone:479-323-2424
Practice Address - Fax:479-308-0295
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1706314101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1942695572Medicaid