Provider Demographics
NPI:1164779427
Name:MORGIA, HEIDI ESCALONA (LMHC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:ESCALONA
Last Name:MORGIA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7783 BLAIRWOOD CIR N
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1803
Mailing Address - Country:US
Mailing Address - Phone:561-306-4188
Mailing Address - Fax:
Practice Address - Street 1:1720 E TIFFANY DR STE 102
Practice Address - Street 2:
Practice Address - City:MANGONIA PARK
Practice Address - State:FL
Practice Address - Zip Code:33407-3235
Practice Address - Country:US
Practice Address - Phone:561-844-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL15180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health