Provider Demographics
NPI:1174890339
Name:MORGAN, ANDREA TRENA (LICENSED PROFESSIONA)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:TRENA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LICENSED PROFESSIONA
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:TRENA
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:40128 CYPRESS RESERVE BLVD
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454
Mailing Address - Country:US
Mailing Address - Phone:985-237-2219
Mailing Address - Fax:
Practice Address - Street 1:ST. TAMMANY PARISH PUBLIC SCHOOLS
Practice Address - Street 2:321 NORTH THEARD STREET
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-892-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-16
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4533101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor