Individual provider · Type 1 NPI

Morgan Provo, LPC-IT, MS

Professional Counselor · Mequon, WI

NPI number 1457046807 Active

Practice location

1655 W Mequon Rd
Mequon, WI 53092-3254

Call (414) 292-4242 Map

Fax (262) 240-9745

Mailing address

4041 N Oakland Ave Apt 304
Shorewood, WI 53211-2386

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X9124-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1457046807

Morgan Provo, LPC-IT, MS's National Provider Identifier is 1457046807, issued on Apr 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mequon, WI. The record was last updated on Jun 26, 2026.