Mixon, Kathryn

Mixon, Kathryn is an sole proprietor health care provider with primary practice located at 1610 Center St Suite A, Mobile AL 36604-1512. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mixon, Kathryn can be contacted via phone (251) 439-7850.

Contact Information

Primary practice address
1610 Center St Suite A Mobile AL 36604-1512
Fax: (251) 432-9013
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0857G Alabama

Profile Details

NPI number 1760823835
LBN Legal business name Mixon, Kathryn
Credentials LGSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760823835 NPPES
Alabama MEDICAID 1041C0700X

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