Healthcare Provider Details

I. General information

NPI: 1285803742
Provider Name (Legal Business Name): MICHELLE SCHOTT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 WESTBANK EXPY
MARRERO LA
70072-2954
US

IV. Provider business mailing address

5001 WESTBANK EXPY
MARRERO LA
70072-2954
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-8708
  • Fax: 504-349-8703
Mailing address:
  • Phone: 504-349-8708
  • Fax: 504-349-8703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2917
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: