Healthcare Provider Details

I. General information

NPI: 1144678277
Provider Name (Legal Business Name): LUCY MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2016
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N 100 E STE 102
ST GEORGE UT
84770-7369
US

IV. Provider business mailing address

1630 E 2450 S UNIT 252
SAINT GEORGE UT
84790-6334
US

V. Phone/Fax

Practice location:
  • Phone: 801-935-4171
  • Fax:
Mailing address:
  • Phone: 253-720-4158
  • Fax: 801-221-0649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number14306946-2506
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: