IndividualActive
Jolie Michon
NPI 1114501103 · Child Mental Illness Respite Care · Lake Charles, LA
Provider details
- NPI number
- 1114501103
- Entity type
- Individual
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Sex
- Female
- Sole proprietor
- Yes
Practice location
700 Pujo St
Lake Charles, LA 70601-4378
Phone: (337) 436-6622
Fax: (337) 436-4403
Mailing address
700 Pujo St
Lake Charles, LA 70601-4378
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.