Provider Demographics
NPI:1053017772
Name:MINER, MORGAN LEE
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LEE
Last Name:MINER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 S SONGBIRD CIR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2620
Mailing Address - Country:US
Mailing Address - Phone:435-632-3098
Mailing Address - Fax:
Practice Address - Street 1:321 N MALL DR STE VW103
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-7337
Practice Address - Country:US
Practice Address - Phone:435-767-1532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist