Evans, Mechele De Avila

Evans, Mechele De Avila is an sole proprietor health care provider with primary practice located at 1082 Havenwood Drive Back Apartment, Baton Rouge LA 70815-6730. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Evans, Mechele De Avila can be contacted via phone (225) 366-8606.

Contact Information

Primary practice address
1082 Havenwood Drive Back Apartment Baton Rouge LA 70815-6730
Fax: (225) 410-0080
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 40065 Louisiana

Profile Details

NPI number 1124087481
LBN Legal business name Evans, Mechele De Avila
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124087481 NPPES
Louisiana MEDICAID 1549495

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