Provider Demographics
NPI:1952831810
Name:MORGAN, ANDREW (MS, CAP, RMHCI)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MS, CAP, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 NE 44TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-1423
Mailing Address - Country:US
Mailing Address - Phone:954-530-9591
Mailing Address - Fax:
Practice Address - Street 1:450 NE 44TH STREET
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334
Practice Address - Country:US
Practice Address - Phone:954-530-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLADC-001354-2014101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor