Provider Demographics
NPI:1740086487
Name:AGUILON, MORGAN ASHLEY
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:ASHLEY
Last Name:AGUILON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 N VINITY RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-8794
Mailing Address - Country:US
Mailing Address - Phone:501-827-6973
Mailing Address - Fax:
Practice Address - Street 1:103 CALVARY LN
Practice Address - Street 2:
Practice Address - City:JUDSONIA
Practice Address - State:AR
Practice Address - Zip Code:72081-9324
Practice Address - Country:US
Practice Address - Phone:501-729-3101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2502011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health