Healthcare Provider Details

I. General information

NPI: 1124629092
Provider Name (Legal Business Name): MORGAN OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 N MAIN ST STE 204
HEBER CITY UT
84032-1622
US

IV. Provider business mailing address

1406 S 1040 E
HEBER CITY UT
84032-1696
US

V. Phone/Fax

Practice location:
  • Phone: 435-709-3060
  • Fax:
Mailing address:
  • Phone: 435-709-2844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10927775-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: