person
Miracle Mitchell, LPC
Professional Counselor in Tallulah, Louisiana
NPI 1730586173

Miracle Mitchell is a Professional Counselor based in Vicksburg, LA and is specialized in Professional. Miracle Mitchell practices in Tallulah, LA and has the professional credentials of LPC. The NPI Number for Miracle Mitchell is 1730586173 and holds a License No. 1951 (Louisiana).

The current practice location address for Miracle Mitchell is 805 N Beech St Ste 2, Tallulah, LA and can be reached out via phone at 318-493-5147 and via fax at 318-493-5148. You can also correspond with Miracle Mitchell through the mailing address at 103 GRANITE WAY, VICKSBURG, MS - 39183-6952 (mailing address contact number: 601-826-9947).

Location: 805 N Beech St Ste 2, Tallulah, LA, 39183-6952
person
Provider Profile Details
NPI Number
1730586173
Provider Name
Miracle Mitchell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
805 N Beech St Ste 2, Tallulah, LA, 39183-6952
Phone Number
318-493-5147
Fax Number
318-493-5148
Provider Enumeration Date
12/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08532364 05 MS
institution
Provider Business Practice Location Address Details
Address
805 N Beech St Ste 2
City
State
Zip
71282-3809
Phone Number
318-493-5147
Fax Number
318-493-5148
person
Provider Business Mailing Address Details
Address
805 N Beech St Ste 2
City
State
Zip
71282-3809
Phone Number
318-493-5147
Fax Number
318-493-5148
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1951 (Mississippi)
Definition
Definition to come...
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