Healthcare Provider Details

I. General information

NPI: 1881127157
Provider Name (Legal Business Name): LAKEE MOSS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2439 MANHATTAN BLVD STE 301
HARVEY LA
70058-5359
US

IV. Provider business mailing address

1610 ALLEN TOUSSAINT BLVD APT 130
NEW ORLEANS LA
70122-2855
US

V. Phone/Fax

Practice location:
  • Phone: 504-309-4628
  • Fax:
Mailing address:
  • Phone: 504-303-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12371
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: