Provider Demographics
NPI:1750322145
Name:MOREHOUSE, LULA J (MSW)
Entity Type:Individual
Prefix:
First Name:LULA
Middle Name:J
Last Name:MOREHOUSE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4727 W 147TH ST
Mailing Address - Street 2:#227
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1368
Mailing Address - Country:US
Mailing Address - Phone:310-851-4925
Mailing Address - Fax:
Practice Address - Street 1:1251 W REDONDO BEACH BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3456
Practice Address - Country:US
Practice Address - Phone:310-851-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN065391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical