Provider Demographics
NPI:1437301439
Name:HATCHETT, MICAH PATUREAU (PHD, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:MICAH
Middle Name:PATUREAU
Last Name:HATCHETT
Suffix:
Gender:F
Credentials:PHD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1015
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-1015
Mailing Address - Country:US
Mailing Address - Phone:985-276-9441
Mailing Address - Fax:
Practice Address - Street 1:565 LOTUS DR N
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-2800
Practice Address - Country:US
Practice Address - Phone:985-276-9441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional