Healthcare Provider Details

I. General information

NPI: 1255955704
Provider Name (Legal Business Name): MORGAN ANN OWENS HEINLEIN MSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 S EUCLID AVE
BAY CITY MI
48706-3311
US

IV. Provider business mailing address

3140 N THOMAS RD
FREELAND MI
48623-8869
US

V. Phone/Fax

Practice location:
  • Phone: 989-667-9661
  • Fax:
Mailing address:
  • Phone: 989-415-8749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801106994
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: