Provider Demographics
NPI:1538744560
Name:CASEMAN, MORGAN (MA, LPC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:CASEMAN
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 ELEANOR ST SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317-2306
Mailing Address - Country:US
Mailing Address - Phone:480-247-0101
Mailing Address - Fax:
Practice Address - Street 1:377 ELEANOR ST SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317-2306
Practice Address - Country:US
Practice Address - Phone:480-247-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-16164101YM0800X
GALPC012033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health