Provider Demographics
NPI:1982588604
Name:ECHOLS, MICHAEL B (CIT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:B
Last Name:ECHOLS
Suffix:
Gender:M
Credentials:CIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 COLLEGE DR APT 162-2
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-1800
Mailing Address - Country:US
Mailing Address - Phone:225-592-1428
Mailing Address - Fax:
Practice Address - Street 1:12097 OLD HAMMOND HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8679
Practice Address - Country:US
Practice Address - Phone:225-301-7525
Practice Address - Fax:225-612-6602
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)