Healthcare Provider Details

I. General information

NPI: 1093061152
Provider Name (Legal Business Name): RACHEL K MORALES MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 VETERANS MEMORIAL BLVD
METAIRIE LA
70002-5610
US

IV. Provider business mailing address

3939 VETERANS MEMORIAL BLVD
METAIRIE LA
70002-5610
US

V. Phone/Fax

Practice location:
  • Phone: 504-619-9845
  • Fax:
Mailing address:
  • Phone: 504-619-9845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5330
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: