Provider Demographics
NPI:1336907849
Name:MORGAN, MARGARET BOAKYE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:BOAKYE
Last Name:MORGAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 CHARLESTON CT
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-4745
Mailing Address - Country:US
Mailing Address - Phone:513-237-1597
Mailing Address - Fax:
Practice Address - Street 1:2012 CHARLESTON CT
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-4745
Practice Address - Country:US
Practice Address - Phone:513-884-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1087398106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician