Provider Demographics
NPI:1447266366
Name:HEBERT COUNTS, C. MICHELLE (FNPC)
Entity type:Individual
Prefix:MRS
First Name:C.
Middle Name:MICHELLE
Last Name:HEBERT COUNTS
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:COUNTS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-5437
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:104 CONTEMPO AVE
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5312
Practice Address - Country:US
Practice Address - Phone:318-807-1360
Practice Address - Fax:318-807-1364
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03686363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics