Provider Demographics
NPI:1649677808
Name:DR. JOANNA E. MORSE
Entity type:Organization
Organization Name:DR. JOANNA E. MORSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:ENGLISH
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:502-208-1678
Mailing Address - Street 1:4211 POPLAR LEVEL RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-1597
Mailing Address - Country:US
Mailing Address - Phone:502-208-1678
Mailing Address - Fax:844-273-9970
Practice Address - Street 1:4211 POPLAR LEVEL RD STE 202
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-1597
Practice Address - Country:US
Practice Address - Phone:502-208-1678
Practice Address - Fax:844-273-9970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100313580Medicaid
FL103344900Medicaid
FL104254100Medicaid
KY7100483870Medicaid