Provider Demographics
NPI:1962840538
Name:RAY, MORGAN ELIZABETH (LPCA, NBCC, MA)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ELIZABETH
Last Name:RAY
Suffix:
Gender:F
Credentials:LPCA, NBCC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1927 THURMOND PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3038
Mailing Address - Country:US
Mailing Address - Phone:704-351-8604
Mailing Address - Fax:
Practice Address - Street 1:1913 J N PEASE PL
Practice Address - Street 2:#103
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-4556
Practice Address - Country:US
Practice Address - Phone:704-910-3863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10062101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor