St. Raymond, Michelle Alys
St. Raymond, Michelle Alys is an sole proprietor health care provider with primary practice located at 1934 Madison St , Mandeville LA 70448-5841. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. St. Raymond, Michelle Alys can be contacted via phone (985) 674-4113.Contact Information
Primary practice address
1934 Madison St
Mandeville LA 70448-5841
Phone: (985) 674-4113
Fax: (985) 674-4113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3353 | Louisiana |
Profile Details
| NPI number | 1417092594 |
|---|---|
| LBN Legal business name | St. Raymond, Michelle Alys |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Dec 15th, 2008 - about 16 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 | 1417092594 | NPPES |
| Louisiana | Other | 586309 | VALUE OPTIONS PROVIDER |
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