| Doctor Name: | JAIME R. MICHOT |
| NPI Number: | 1104162239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 4199 |
| Business Practice Address: | 2645 S Fieldspan Rd Duson, LA - 705294201 |
| Business Phone Number: | 3375017169 |
| Business Fax Number: | 3375217891 |
| Mailing Address: | 113 Chaplin Dr, LAFAYETTE |
| State: | LA |
| Postal Code: | 705082101 |
| Phone Number: | 3375017169 |
| Fax Number: | 3375217088 |
| NPI Enumeration Date: | 12/18/2012 |
| NPI Last Update Date: | 12/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 4199 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |