Basic Information
Provider Information
NPI: 1457610032
EntityType: 2
ReplacementNPI:  
OrganizationName: MORGAN BEHAVIORAL HEALTH CHOICES
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 522
Address2:  
City: MCCONNELSVILLE
State: OH
PostalCode: 437560522
CountryCode: US
TelephoneNumber: 7409626933
FaxNumber: 7409626305
Practice Location
Address1: 915 S RIVERSIDE DR NE
Address2:  
City: MCCONNELSVILLE
State: OH
PostalCode: 437569102
CountryCode: US
TelephoneNumber: 7409626933
FaxNumber: 7409626305
Other Information
ProviderEnumerationDate: 05/16/2012
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RAY
AuthorizedOfficialFirstName: TERRY
AuthorizedOfficialMiddleName: ANN
AuthorizedOfficialTitleorPosition: EXECUTIVE DIRECTOR
AuthorizedOfficialTelephone: 7409626933
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X1547OHY AgenciesCommunity/Behavioral Health 

No ID Information.


Home