# MICHELLE L WALL, LLC

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

## Provider details

- **NPI number:** 1902268071
- **Authorized official:** MICHELLE WALL MHS, LRC (OWNER)
- **Authorized official phone:** (225) 667-4014

## Contact information

- **Practice address:** 3233 S SHERWOOD FOREST BLVD, SUITE 200-A, BATON ROUGE, LA 70816-2250
- **Practice address phone:** (225) 295-8190
- **Practice address fax:** (225) 295-8192
- **Mailing address:** PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
- **Mailing address phone:** (225) 667-4014
- **Mailing address fax:** (225) 667-4886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 2203782119 | LA | Yes |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 03/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1625531 | — | LA |