Healthcare Provider Details
I. General information
NPI: 1568036143
Provider Name (Legal Business Name): MCH MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2021
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1502 STUBBS AVE
MONROE LA
71201-5628
US
IV. Provider business mailing address
1502 STUBBS AVE
MONROE LA
71201-5628
US
V. Phone/Fax
- Phone: 318-323-8700
- Fax:
- Phone: 318-323-8700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP0016X |
| Taxonomy | Prescribing (Medical) Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CANDI
LASHAE
HILL
Title or Position: OWNER, PSYCHOLOGIST
Credential: PHD, MP
Phone: 318-323-8700