Healthcare Provider Details

I. General information

NPI: 1851255228
Provider Name (Legal Business Name): STEPHANIE NICOLE MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 CURRAN BLVD
NEW ORLEANS LA
70127-1304
US

IV. Provider business mailing address

61 SUNSET BLVD
INDEPENDENCE LA
70443-6100
US

V. Phone/Fax

Practice location:
  • Phone: 504-367-3307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: