MRS. MICHELLE RENEE FONTENOT (NPI# 1013298991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013298991 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE RENEE FONTENOT |
| Credential | MA, LPC |
| Practice Address |
748 Bayou Pines East Dr Ste B Lake Charles LA 70601-7184 |
| Mailing Address |
108 Constitution Dr Alexandria LA 71303-3521 |
| Practice Telephone | 3372748017 |
| Practice Fax Number | 3372141836 |
| Mailing Telephone | 3187040640 |
| Mailing Fax Number | 3187040642 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
4498 | LA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 108 Constitution Dr, Alexandria, LA 713033521 | 3187040640 | 3187040642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811203029 | Michelle Deon Fontenot | Counselor | 3703 S Edmunds St, #20, Seattle, WA 98118-1728 | 2010-08-25 |
| Street Address |
748 BAYOU PINES EAST DR STE B |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790828176 | Mobile Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 748 Bayou Pines East Dr, Lake Charles, LA 70601-7198 | 2007-02-15 |
| 1508273889 | Lake Area Counseling Services, LLC | Community/Behavioral Health | 748 Bayou Pines East Dr, Suite B, Lake Charles, LA 70601-7184 | 2014-07-17 |
| 1457767980 | Family Bridges Counseling Center, LLC | Clinic/Center | 748 Bayou Pines East Dr, Ste B, Lake Charles, LA 70601-7184 | 2014-07-04 |
| 1144666009 | Erin Primeaux Shoumaker | Counselor | 748 Bayou Pines East Dr, Suite B, Lake Charles, LA 70601-7184 | 2013-05-20 |
| 1700147022 | Mobile Imaging, Inc. | Clinic/Center | 748 Bayou Pines East Dr, Suite D, Lake Charles, LA 70601-7184 | 2012-06-04 |
| 1578607693 | The Arthritis Center of Southwest Louisiana, LLC | Internal Medicine | 748 Bayou Pines East Dr, Suite B, Lake Charles, LA 70601-7198 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1730561325 | Michael Christopher Rivera | Counselor | 1531 Country Club Rd, Suite 1018, Lake Charles, LA 70605-5338 | 2015-06-19 |
| 1407234446 | Sergio Hayes | Counselor | 127 Williamsburg St Bldg E, Lake Charles, LA 70605-5719 | 2015-05-11 |
| 1518373745 | Sara Mcdonald | Counselor | 300 E Mcneese St Ste 8b, Lake Charles, LA 70605-5700 | 2014-07-09 |
| 1053743757 | Brett Michael Chambley | Counselor | 2802 Hodges St, Lake Charles, LA 70601-7368 | 2013-08-05 |
| 1063857191 | Robin Claire Daugereau | Counselor | 1202 Kirkman St, Suite A, Lake Charles, LA 70601-5391 | 2013-05-02 |
| 1134472673 | Marcell Meaux Gary | Counselor | 2119 Oak Park Blvd, Lake Charles, LA 70601 | 2012-10-22 |
| 1134489255 | Madeline Savoie | Counselor | 914 Carondelet St, Lake Charles, LA 70605-4397 | 2012-05-22 |
| 1649552845 | Christus St. Patrick Hospital | Counselor | 2115 Fitzenrieter Rd, Lake Charles, LA 70601-1139 | 2011-09-13 |
| 1093045320 | Toby W Osburn | Counselor | 194 Williamsburg St, Heritage Square Office Park, Bldg. B, Lake Charles, LA 70605-5720 | 2010-01-08 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on MRS. MICHELLE RENEE FONTENOT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.