Provider Demographics
NPI:1023129343
Name:MORGAN, PATRICIA D (LPC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:D
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6303 BETTY COOK DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723
Mailing Address - Country:US
Mailing Address - Phone:512-922-1847
Mailing Address - Fax:512-233-0550
Practice Address - Street 1:8701 SHOAL CREEK BLVD STE 403
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-6809
Practice Address - Country:US
Practice Address - Phone:512-922-1847
Practice Address - Fax:512-233-0550
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138414113Medicaid
296466OtherBCBS
486443000OtherMAGELLAN
5445389OtherAETNA
10013861OtherAMENIGROUP
554500OtherVALUE OPTIONS