Healthcare Provider Details

I. General information

NPI: 1235886458
Provider Name (Legal Business Name): ANGELA MECHE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 ELTON RD STE F
JENNINGS LA
70546-4100
US

IV. Provider business mailing address

1322 ELTON RD STE F
JENNINGS LA
70546-4100
US

V. Phone/Fax

Practice location:
  • Phone: 337-824-8868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10191
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: