MRS. MICHELLE RENEE FONTENOT


Address: 748 Bayou Pines East Dr, Ste B, Lake Charles, LA 70601-7184
Phone: 3372748017

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
108 Constitution Dr, Alexandria, LA 713033521 3187040640 3187040642

Other Providers MICHELLE FONTENOT

NPI Name Taxonomy Address Enumeration
1811203029 Michelle Deon Fontenot Counselor 3703 S Edmunds St, #20, Seattle, WA 98118-1728 2010-08-25

Office Location

Street Address 748 BAYOU PINES EAST DR
STE B
City LAKE CHARLES
State LA
Zip Code 70601-7184

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LAKE CHARLES
Zip Code 70601

Improve Information

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Dataset Information

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.

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