Healthcare Provider Details

I. General information

NPI: 1336030162
Provider Name (Legal Business Name): MICHAELA ONYEKWELI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10001 LAKE FOREST BLVD
NEW ORLEANS LA
70127-6200
US

IV. Provider business mailing address

13361 S FAIRVIEW AVE
BATON ROUGE LA
70816-1422
US

V. Phone/Fax

Practice location:
  • Phone: 504-345-2261
  • Fax:
Mailing address:
  • Phone: 504-289-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9828
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: