Healthcare Provider Details

I. General information

NPI: 1366365702
Provider Name (Legal Business Name): MORCOR WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 SAINT JOHN ST
LAFAYETTE LA
70501-6705
US

IV. Provider business mailing address

709 SAINT JOHN ST
LAFAYETTE LA
70501-6705
US

V. Phone/Fax

Practice location:
  • Phone: 337-409-6815
  • Fax: 337-307-8076
Mailing address:
  • Phone: 337-409-6815
  • Fax: 337-307-8076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MORGAN DOUCET THOMAS
Title or Position: OWNER
Credential: PMHNP
Phone: 337-852-4255