Healthcare Provider Details

I. General information

NPI: 1679606578
Provider Name (Legal Business Name): MOREHOUSE PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4099 NAFF AVE
BASTROP LA
71220-7486
US

IV. Provider business mailing address

PO BOX 872 4099 NAFF STREET
BASTROP LA
71221-0872
US

V. Phone/Fax

Practice location:
  • Phone: 318-281-5784
  • Fax: 318-281-5956
Mailing address:
  • Phone: 318-281-5784
  • Fax: 318-281-5956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateLA
# 7
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateLA

VIII. Authorized Official

Name: RENEE B. HINTON
Title or Position: BUSINESS MANAGER
Credential:
Phone: 318-283-3050