Provider Demographics
NPI:1366800047
Name:NORVELL-JOHNSTON, MORGAN (LPC, CDCA)
Entity type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:
Last Name:NORVELL-JOHNSTON
Suffix:
Gender:F
Credentials:LPC, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 LYON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4908
Mailing Address - Country:US
Mailing Address - Phone:614-378-3630
Mailing Address - Fax:
Practice Address - Street 1:3925 LYON DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-4908
Practice Address - Country:US
Practice Address - Phone:614-378-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140885101YA0400X
OHC1300314101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)