Morgan, Juanda Carroll
Morgan, Juanda Carroll is an sole proprietor health care provider with primary practice located at 1514 Ellis Ave Suite D, Lufkin TX 75904-3104. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Morgan, Juanda Carroll can be contacted via phone (936) 639-3353.Contact Information
Primary practice address
1514 Ellis Ave Suite D
Lufkin TX 75904-3104
Phone: (936) 639-3353
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 9526 | Texas |
Profile Details
| NPI number | 1639392897 |
|---|---|
| LBN Legal business name | Morgan, Juanda Carroll |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639392897 | NPPES |
| Texas | Other | 1930LC | BLUE CROSS BLUE SHIELD |
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