# MICAH'S WALK FOR AUTISM

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639862857
- **Authorized official:** CHRISTE TASHAY FORD MCBRIDE LPN, B.S.H.A (FOUNDER/PRESIDENT/CEO)
- **Authorized official phone:** (662) 263-6044

## Contact information

- **Practice address:** 424 SHADOWOOD DR, RIDGELAND, MS 39157-4155
- **Practice address phone:** (662) 263-6044
- **Mailing address:** 424 SHADOWOOD DR, RIDGELAND, MS 39157-4155
- **Mailing address phone:** (662) 263-6044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2023
- **Last updated:** 06/27/2023