Individual
ALICIA MICHELE WIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9410 LINDALE AVE STE A, BATON ROUGE, LA 70815-4160
(225) 768-7246
(800) 768-7675
Mailing address
9410 LINDALE AVE STE A, BATON ROUGE, LA 70815-4160
(225) 768-7246
(800) 768-7675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
03/15/2019
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