Provider Demographics
NPI:1528095106
Name:MORGAN, RICHARD E (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:E
Last Name:MORGAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W HOUSTON AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76501-2516
Mailing Address - Country:US
Mailing Address - Phone:254-760-0331
Mailing Address - Fax:254-239-5270
Practice Address - Street 1:4520 E CENTRAL TEXAS EXPY STE 111
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-5276
Practice Address - Country:US
Practice Address - Phone:254-760-0331
Practice Address - Fax:254-634-8809
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX157301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108229902Medicaid
TX108229902Medicaid