Logan Kent Morgan
Individual provider Active NPI Community/Behavioral Health Agency · Maxwelton, WV
NPI 1740046754 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1740046754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- H2011 (WV)
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 519-9180
- NPI assigned
- Feb 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2011 | WV | MD | Prevention Professional |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | H2011 | WV | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 519-9180
Other providers in Maxwelton, WV
- Carlene Louise McClung
- Jennifer Merrill
- Audrey Mayann Miller
- Mark Ambrose Miller
- Madeleine Wynne Mohler
- Amy Allison Myers
- Lillian Nickell
- Phyllis Nickell
- Kristina Odell
- Samantha Faye Pennington
All providers in Maxwelton, WV · Community/Behavioral Health Agency in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.