Provider Demographics
NPI:1205631595
Name:FONTENOT, MORGAN LAIN (MS, PLPC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:LAIN
Last Name:FONTENOT
Suffix:
Gender:
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 GRAND POINT RD
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-3323
Mailing Address - Country:US
Mailing Address - Phone:337-935-2310
Mailing Address - Fax:
Practice Address - Street 1:2309 GRAND POINT RD
Practice Address - Street 2:
Practice Address - City:BREAUX BRIDGE
Practice Address - State:LA
Practice Address - Zip Code:70517-3323
Practice Address - Country:US
Practice Address - Phone:337-935-2310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health