Provider Demographics
NPI:1134792773
Name:FROEHLICH, MORGAN (MA, TLMHC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:FROEHLICH
Suffix:
Gender:F
Credentials:MA, TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 COUNTRY CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-1009
Mailing Address - Country:US
Mailing Address - Phone:712-253-7486
Mailing Address - Fax:
Practice Address - Street 1:523 WALKER ST
Practice Address - Street 2:
Practice Address - City:WOODBINE
Practice Address - State:IA
Practice Address - Zip Code:51579-1260
Practice Address - Country:US
Practice Address - Phone:712-647-3412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1093401101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1770900763Medicaid