Mitchell, Miracle
Mitchell, Miracle is an sole proprietor health care provider with primary practice located at 805 N Beech St Ste 2 , Tallulah LA 71282-3809. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mitchell, Miracle can be contacted via phone (318) 493-5147.Contact Information
Primary practice address
805 N Beech St Ste 2
Tallulah LA 71282-3809
Phone: (318) 493-5147
Fax: (318) 493-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1951 | Mississippi |
Profile Details
| NPI number | 1730586173 |
|---|---|
| LBN Legal business name | Mitchell, Miracle |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2014 |
| Last updated | Aug 31st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730586173 | NPPES |
| Mississippi | MEDICAID | 08532364 |
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