Provider Demographics
NPI:1821889510
Name:PELLICER, MORGAN LEE (EDS, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEE
Last Name:PELLICER
Suffix:
Gender:F
Credentials:EDS, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 GREENGARDEN CT
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-9454
Mailing Address - Country:US
Mailing Address - Phone:803-292-0421
Mailing Address - Fax:803-767-4972
Practice Address - Street 1:915 SHULL ST
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-6711
Practice Address - Country:US
Practice Address - Phone:803-608-3257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8551101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional