Healthcare Provider Details

I. General information

NPI: 1689505372
Provider Name (Legal Business Name): MORGAN HERDA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 W O ST
LINCOLN NE
68528-1806
US

IV. Provider business mailing address

1205 S 3RD AVE
ROCK RAPIDS IA
51246-1212
US

V. Phone/Fax

Practice location:
  • Phone: 402-441-1966
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14931
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: