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General NPI Number Information
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NPI Number | 1770206823
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Entity Type | Organization
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Legal Business Name | HEIDI MORRIS, LCSW, LLC
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Dates
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Enumeration Date | 09/23/2022
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 521 N ORANGE ST
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City | MISSOULA
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State | MT
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Zip | 59802-4128
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Country | US
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Telephone | 406-304-8457
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Fax | 406-258-0151
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Provider Business Mailing Address
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Address Line | PO BOX 16652
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City | MISSOULA
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State | MT
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Zip | 59808-6652
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Country | US
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Telephone | 406-304-8457
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Fax | 406-258-0151
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | HEIDI SUE MORRIS
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Credential | MSW, LCSW
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Telephone | 406-304-8457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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