Provider Demographics
NPI:1023839768
Name:CANEPA, MICHELLE ROGERS (PLPC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ROGERS
Last Name:CANEPA
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:MRS
Other - First Name:MICHELLE
Other - Middle Name:LYNN
Other - Last Name:CANEPA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PLPC
Mailing Address - Street 1:306 W JUDGE PEREZ DR
Mailing Address - Street 2:
Mailing Address - City:CHALMETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70043-4904
Mailing Address - Country:US
Mailing Address - Phone:504-656-4340
Mailing Address - Fax:
Practice Address - Street 1:306 W JUDGE PEREZ DR
Practice Address - Street 2:
Practice Address - City:CHALMETTE
Practice Address - State:LA
Practice Address - Zip Code:70043-4904
Practice Address - Country:US
Practice Address - Phone:504-656-4340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC10212101YM0800X
LAPLC10210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health