Healthcare Provider Details

I. General information

NPI: 1447266366
Provider Name (Legal Business Name): C. MICHELLE HEBERT COUNTS FNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE COUNTS

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 CONTEMPO AVE
WEST MONROE LA
71291-5312
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 318-807-1360
  • Fax: 318-807-1364
Mailing address:
  • Phone: 318-966-5437
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP03686
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: