Provider Demographics
NPI:1679349708
Name:DENNIS, MORGAN RENA
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RENA
Last Name:DENNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4768 COUNTY ROAD 232
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-8146
Mailing Address - Country:US
Mailing Address - Phone:205-479-9580
Mailing Address - Fax:
Practice Address - Street 1:1601 7TH ST N STE B
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-3942
Practice Address - Country:US
Practice Address - Phone:205-299-6885
Practice Address - Fax:205-882-6636
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst