Carolyn Lee Mixon, is a
Case Manager/care Coordinator based in Los Angeles, California. Carolyn Lee Mixon is licensed to practice in * (Not Available) (license number ) and her current practice location is
5201 S Vermont Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 781-3026.
NPI number for Carolyn Lee Mixon is 1073810370 and her current mailing address is 114 E Hillcrest Blvd, 1, Inglewood, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073810370.
Healthcare Provider's Profile
| Full Name | Carolyn Lee Mixon |
|---|
| Gender | Female |
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| Speciality | Case Manager/care Coordinator |
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| Location | 5201 S Vermont Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073810370
- Provider Enumeration Date: 02/22/2011
- Last Update Date: 05/01/2019
Medical Identifiers
Medical identifiers for Carolyn Lee Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073810370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1006031525 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn Lee Mixon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Carolyn Lee Mixon,
114 E Hillcrest Blvd, 1,
Inglewood, CA 90301-2418
Ph: (310) 491-8765 | Carolyn Lee Mixon,
5201 S Vermont Ave,
Los Angeles, CA 90037-3527
Ph: (323) 781-3026 |
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