Provider Demographics
NPI:1851668388
Name:MORRIS, HEIDI SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:SUE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16652
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59808-6652
Mailing Address - Country:US
Mailing Address - Phone:406-304-8457
Mailing Address - Fax:406-258-0151
Practice Address - Street 1:521 N ORANGE ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4128
Practice Address - Country:US
Practice Address - Phone:406-304-8457
Practice Address - Fax:406-258-0151
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT854104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker