Provider Demographics
NPI:1235886458
Name:MECHE, ANGELA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:MECHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 OAK GROVE HWY
Mailing Address - Street 2:
Mailing Address - City:GRAND CHENIER
Mailing Address - State:LA
Mailing Address - Zip Code:70643-3242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:753 OAK GROVE HWY
Practice Address - Street 2:
Practice Address - City:GRAND CHENIER
Practice Address - State:LA
Practice Address - Zip Code:70643-3242
Practice Address - Country:US
Practice Address - Phone:337-542-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101911041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool