Provider Demographics
NPI:1033611108
Name:KNIGHT, MICHELLE M
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:M
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 RUE DE SANTE STE 4
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-5418
Mailing Address - Country:US
Mailing Address - Phone:985-652-7840
Mailing Address - Fax:
Practice Address - Street 1:500 RUE DE SANTE STE 4
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-5418
Practice Address - Country:US
Practice Address - Phone:985-652-7840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health