Provider Demographics
NPI:1366987323
Name:MORTON, LATRICHA
Entity type:Individual
Prefix:
First Name:LATRICHA
Middle Name:
Last Name:MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 BONITA DR
Mailing Address - Street 2:4650 BONITA
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4450
Mailing Address - Country:US
Mailing Address - Phone:504-390-8485
Mailing Address - Fax:
Practice Address - Street 1:4650 BONITA DR
Practice Address - Street 2:4650 BONITA
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-4450
Practice Address - Country:US
Practice Address - Phone:504-390-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health