Provider Demographics
NPI:1447526892
Name:MORGAN, LORI R (LCSW LAC)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:R
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LCSW LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 W. DICKERSON AVE.
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718
Mailing Address - Country:US
Mailing Address - Phone:406-582-0500
Mailing Address - Fax:
Practice Address - Street 1:1902 W DICKERSON ST
Practice Address - Street 2:SUITE 208
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-6852
Practice Address - Country:US
Practice Address - Phone:406-582-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1395101YA0400X
MT10581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)