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
Phone: (225) 366-8606
Fax: (225) 410-0080
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124087481 | NPPES |
| Louisiana | MEDICAID | 1549495 |
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