Provider Demographics
NPI:1679237838
Name:MORGAN-MILLER LCSW-S, KAREN D (MS, LCSW-S)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:MORGAN-MILLER LCSW-S
Suffix:
Gender:F
Credentials:MS, LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0163
Mailing Address - Country:US
Mailing Address - Phone:469-474-4437
Mailing Address - Fax:
Practice Address - Street 1:102 E BROAD ST UNIT 163
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-9432
Practice Address - Country:US
Practice Address - Phone:469-474-4437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX602411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty