Provider Demographics
NPI:1255116364
Name:DITCHFIELD, MORGAN CHEYENNE
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:CHEYENNE
Last Name:DITCHFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:CHEYENNE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4195 N 198TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5605
Mailing Address - Country:US
Mailing Address - Phone:828-974-4738
Mailing Address - Fax:
Practice Address - Street 1:4195 N 198TH AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-5605
Practice Address - Country:US
Practice Address - Phone:828-974-4738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-23230101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health