Doctor Name: | MRS. SARAH B MORAN |
NPI Number: | 1003896085 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LMFT |
License Number: | 5554 |
Business Practice Address: | 1011 N Causeway Blvd #32 Mandeville, LA - 704713243 |
Business Phone Number: | 9856268100 |
Business Fax Number: | 9856265900 |
Mailing Address: | 1011 N Causeway Blvd, #32 MANDEVILLE |
State: | LA |
Postal Code: | 704713243 |
Phone Number: | 9856268100 |
Fax Number: | 9856265900 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |