Healthcare Provider Details

I. General information

NPI: 1346737731
Provider Name (Legal Business Name): HEATHER ELIZABETH MORGAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER ELIZABETH CREEL LCSW

II. Dates (important events)

Enumeration Date: 04/20/2018
Last Update Date: 07/16/2020
Certification Date: 07/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 BYRD AVE
RICHMOND VA
23230-3033
US

IV. Provider business mailing address

4800 MASON HOLLOW DR
NORTH CHESTERFIELD VA
23234-6046
US

V. Phone/Fax

Practice location:
  • Phone: 804-592-6311
  • Fax: 844-227-7690
Mailing address:
  • Phone: 540-903-7305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904010364
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: