Organization
MICHELLE L WALL, LLC
Active
Other names
ABC Case Management
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WALL MHS, LRC (OWNER)
(225) 667-4014
Entity
Organization
Contact information
Practice address
3501 SEVERN AVE, SUITE 22A, METAIRIE, LA 70002-3451
(504) 520-8545
(504) 520-8548
Mailing address
PO BOX 1284, DENHAM SPRINGS, LA 70727-1284
(225) 667-4014
(225) 667-4886
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
27044
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129503
—
LA
Enumeration date
03/04/2016
Last updated
03/04/2016
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