Provider Demographics
NPI:1982804043
Name:MORGAN, BROOKS LANSON (PSYD, LPC)
Entity Type:Individual
Prefix:MR
First Name:BROOKS
Middle Name:LANSON
Last Name:MORGAN
Suffix:
Gender:M
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MARTIN LUTHER KING, JR. AVENUE, SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:202-610-7146
Mailing Address - Fax:202-610-2691
Practice Address - Street 1:2301 MARTIN LUTHER KING, JR. AVENUE, SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-610-7146
Practice Address - Fax:202-610-2691
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC1160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional