| Michele Marie Mixon, Lcsw | |
|
2244 11th St Mandeville LA 70471-1824 | |
| (225) 266-8122 | |
| Not Available |
| Full Name | Michele Marie Mixon, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2244 11th St, Mandeville, Louisiana |
| Authorized Official Name and Position | Michele Mixon (OWNER) |
| Authorized Official Contact | 2252668122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Marie Mixon, Lcsw 2244 11th St Mandeville LA 70471-1824 Ph: () - | Michele Marie Mixon, Lcsw 2244 11th St Mandeville LA 70471-1824 Ph: (225) 266-8122 |
| NPI Number | 1144619842 |
|---|---|
| Provider Enumeration Date | 01/18/2015 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144619842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8769 (Louisiana) | Primary |
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