MIRACLE MITCHELL LPC NPI 1730586173

NPI Information

NPI: 1730586173
Provider Name: MIRACLE MITCHELL, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
805 N BEECH ST STE 2
TALLULAH, LA
ZIP 71282
Phone: (318) 493-5147
Get Directions

Miracle Mitchell, LPC is a professional counselor in Tallulah, LA. Miracle Mitchell, LPC NPI is 1730586173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 N BEECH ST STE 2
TALLULAH, LA
ZIP 71282-809
Phone: (318) 493-5147
Fax: (318) 493-5148

The enumeration date for this NPI number is 12/1/2014 and was last updated on 8/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	1951	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08532364	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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