| Doctor Name: | STACEY G MOREAU |
| NPI Number: | 1003925512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED., LPC |
| License Number: | 2012 |
| Business Practice Address: | 1112 E Ascension Complex Blvd Gonzales, LA - 707374265 |
| Business Phone Number: | 2256215775 |
| Business Fax Number: | 2256442846 |
| Mailing Address: | 17094 W Swamp Rd, PRAIRIEVILLE |
| State: | LA |
| Postal Code: | 707693420 |
| Phone Number: | 2256739572 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2012 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |