# MICHELLE L WALL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ABC Case Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073973905
- **Authorized official:** MICHELLE WALL MHS, LRC (OWNER)
- **Authorized official phone:** (225) 667-4014

## Contact information

- **Practice address:** 1 LAKESHORE DR, SUITE 1620, LAKE CHARLES, LA 70629-0100
- **Practice address phone:** (337) 421-1510
- **Practice address fax:** (337) 421-1516
- **Mailing address:** PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
- **Mailing address phone:** (225) 667-4014
- **Mailing address fax:** (225) 667-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 27071 | LA | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2191675 | — | LA |