Provider Demographics
NPI:1508435413
Name:MCCALL, ABBIE (MA, PLPC)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:MCCALL
Suffix:
Gender:F
Credentials:MA, PLPC
Other - Prefix:
Other - First Name:ABBIE
Other - Middle Name:
Other - Last Name:BLAKENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10560 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4109
Mailing Address - Country:US
Mailing Address - Phone:225-335-6445
Mailing Address - Fax:
Practice Address - Street 1:10560 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4109
Practice Address - Country:US
Practice Address - Phone:225-335-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLPC8648101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor