Provider Demographics
NPI:1932769478
Name:SANDERS, MORGAN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 LONGMIRE DR STE A15
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5858
Mailing Address - Country:US
Mailing Address - Phone:979-428-8282
Mailing Address - Fax:
Practice Address - Street 1:3206 LONGMIRE DR STE A15
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5858
Practice Address - Country:US
Practice Address - Phone:979-428-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72618101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional