Basic Information
Provider Information
NPI: 1194104174
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORPHEW
FirstName: STEVEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LPC, NCC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3840 TIMBERVIEW LN
Address2:  
City: HARVEY
State: LA
PostalCode: 700582011
CountryCode: US
TelephoneNumber: 3187155953
FaxNumber:  
Practice Location
Address1: 2626 CHARLES DR
Address2:  
City: CHALMETTE
State: LA
PostalCode: 700433779
CountryCode: US
TelephoneNumber: 5042784006
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/24/2015
LastUpdateDate: 02/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X6094LAN Behavioral Health & Social Service ProvidersCounselor 
101YP2500X LAY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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