person
Mr. William Ashley Mizelle JR., LCAS,LCMHC,CCS
Addiction (Substance Use Disorder) Counselor in Greenville, North Carolina
NPI 1154497220

William Ashley Mizelle JR. is an Addiction (Substance Use Disorder) Counselor based in Greenville, NC and is specialized in Addiction (Substance Use Disorder). William Ashley Mizelle JR. practices in Greenville, NC and has the professional credentials of LCAS,LCMHC,CCS. The NPI Number for William Ashley Mizelle JR. is 1154497220 and holds a License No. 6860 (North Carolina).

The current practice location address for William Ashley Mizelle JR. is 2602 Courtier Dr, Greenville, NC and can be reached out via phone at 252-752-0483 and via fax at 252-757-3172. You can also correspond with William Ashley Mizelle JR. through the mailing address at 1492 TULL RD, GREENVILLE, NC - 27858-8366 (mailing address contact number: 252-814-5441).

Location: 2602 Courtier Dr, Greenville, NC, 27858-8366
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Provider Profile Details
NPI Number
1154497220
Provider Name
William Ashley Mizelle JR.
Credential
LCAS,LCMHC,CCS
Provider Entity Type
Individual
Gender
Male
Address
2602 Courtier Dr, Greenville, NC, 27858-8366
Phone Number
252-752-0483
Fax Number
252-757-3172
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6111889 05 NC
191488 01 NC MEDCOST
143KY 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
2602 Courtier Dr
City
State
Zip
27834-7818
Phone Number
252-752-0483
Fax Number
252-757-3172
person
Provider Business Mailing Address Details
Address
1492 Tull Rd
City
State
Zip
27858-8366
Phone Number
252-814-5441
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
6860 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10014 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6860 (North Carolina)
Definition
Definition to come...
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