Black, Morgan Celeste

Black, Morgan Celeste is an sole proprietor health care provider with primary practice located at 612 Woodland Square Loop Se Ste 401 , Olympia WA 98503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Black, Morgan Celeste can be contacted via phone (360) 999-9053.

Contact Information

Primary practice address
612 Woodland Square Loop Se Ste 401 Olympia WA 98503
Phone: (360) 999-9053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60190853 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1366972069
LBN Legal business name Black, Morgan Celeste
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2017
Last updated Jan 25th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366972069 NPPES
Washington MEDICAID 1366972069

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