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Myia Cormichel Lane
Counselor in Gulfport, Mississippi
NPI 1831870815

Myia Cormichel Lane is a Counselor based in Gulfport, MS. Myia Cormichel Lane practices in Gulfport, MS. The NPI Number for Myia Cormichel Lane is 1831870815 and holds a License No. M9748 (Mississippi).

The current practice location address for Myia Cormichel Lane is 4605 Goldfinch Dr, Gulfport, MS and can be reached out via phone at 228-219-5219. You can also correspond with Myia Cormichel Lane through the mailing address at 69 HOLLY CIR, GULFPORT, MS - 39501-8629 (mailing address contact number: 228-219-5219).

Location: 4605 Goldfinch Dr, Gulfport, MS, 39501-8629
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Provider Profile Details
NPI Number
1831870815
Provider Name
Myia Cormichel Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
4605 Goldfinch Dr, Gulfport, MS, 39501-8629
Phone Number
228-219-5219
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4605 Goldfinch Dr
City
State
Zip
39501-7218
Phone Number
228-219-5219
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Goldfinch Dr
City
State
Zip
39501-7218
Phone Number
228-219-5219
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
M9748 (Mississippi)
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.
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