VANESSA MIXON NPI 1538700752

NPI Information

NPI: 1538700752
Provider Name: VANESSA MIXON
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
138 CANAL ST STE 506
POOLER, GA
ZIP 31322
Phone: (912) 421-1890
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Vanessa Mixon is a professional counselor in Pooler, GA. Vanessa Mixon NPI is 1538700752. 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:

138 CANAL ST STE 506
POOLER, GA
ZIP 31322-049
Phone: (912) 421-1890

The enumeration date for this NPI number is 9/30/2019 and was last updated on 9/30/2019.

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	010156	GEORGIA	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	010156	OTHER	GEORGIA	LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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