Provider Demographics
NPI:1801966817
Name:MORGAN, DONNA E (LMFT)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SUMMERLIN RDG
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:IL
Mailing Address - Zip Code:62269-6646
Mailing Address - Country:US
Mailing Address - Phone:618-632-2280
Mailing Address - Fax:
Practice Address - Street 1:141 MARKET PL
Practice Address - Street 2:SUITE 206
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2034
Practice Address - Country:US
Practice Address - Phone:618-398-7250
Practice Address - Fax:618-398-6870
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist