Morgan, Carrie Ellen

Morgan, Carrie Ellen is an individual health care provider with primary practice located at 102 Medical Park , Hattiesburg MS 39401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Morgan, Carrie Ellen can be contacted via phone (601) 261-5159.

Contact Information

Primary practice address
102 Medical Park Hattiesburg MS 39401
Phone: (601) 261-5159
Fax: (601) 545-1740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 52 905 Mississippi

Profile Details

NPI number 1588908545
LBN Legal business name Morgan, Carrie Ellen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Jul 21st, 2020 - about 5 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 1588908545 NPPES
Mississippi MEDICAID 05782589
Mississippi Other 6092139

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