Provider Demographics
NPI:1053009746
Name:MORGAN, ANGELA NICOLE (LMHCA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:NICOLE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:NICOLE
Other - Last Name:FILLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:429 EDINBURGH DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5117
Mailing Address - Country:US
Mailing Address - Phone:662-582-6598
Mailing Address - Fax:
Practice Address - Street 1:429 EDINBURGH DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5117
Practice Address - Country:US
Practice Address - Phone:662-582-6598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18717101YM0800X, 101YP2500X, 101Y00000X
NC1246117101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101Y00000XBehavioral Health & Social Service ProvidersCounselor