Healthcare Provider Details

I. General information

NPI: 1639770001
Provider Name (Legal Business Name): MORGAN E DEWITT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2020
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1419 11TH ST STE C
DE WITT IA
52742-1294
US

IV. Provider business mailing address

213 E MAIN ST
ANAMOSA IA
52205-5701
US

V. Phone/Fax

Practice location:
  • Phone: 319-224-0722
  • Fax: 877-728-2951
Mailing address:
  • Phone: 319-224-0722
  • Fax: 877-728-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: