Provider Demographics
NPI:1457072175
Name:MORGAN, LACIE A (M ED)
Entity Type:Individual
Prefix:
First Name:LACIE
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:LACIE
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M ED LPC-ASSOCIATE
Mailing Address - Street 1:1125 RAINTREE CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5288
Mailing Address - Country:US
Mailing Address - Phone:972-737-9667
Mailing Address - Fax:214-785-7715
Practice Address - Street 1:1125 RAINTREE CIR STE 101
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5288
Practice Address - Country:US
Practice Address - Phone:972-737-9667
Practice Address - Fax:214-785-7715
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92395101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional