Doctor Name: | YASMIN LYNETTE MORGAN |
NPI Number: | 1336273549 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A1302025 |
Business Practice Address: | 1312 W Collin Raye Dr De Queen, AR - 718322135 |
Business Phone Number: | 8705847115 |
Business Fax Number: | 8706423388 |
Mailing Address: | 2904 Arkansas Blvd, TEXARKANA |
State: | AR |
Postal Code: | 718542536 |
Phone Number: | 8707734655 |
Fax Number: | 8707724650 |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A1302025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |