Moreau, Stacey G
Moreau, Stacey G is an individual health care provider with primary practice located at 1112 E Ascension Complex Blvd , Gonzales LA 70737-4265. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moreau, Stacey G can be contacted via phone (225) 621-5775.Contact Information
Primary practice address
1112 E Ascension Complex Blvd
Gonzales LA 70737-4265
Phone: (225) 621-5775
Fax: (225) 644-2846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2012 | Louisiana |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 328 | Louisiana |
Profile Details
| NPI number | 1003925512 |
|---|---|
| LBN Legal business name | Moreau, Stacey G |
| Credentials | M.ED., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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