MR. KERRY LEON MIZELL LPC
NPI 1467077032
Counselor - Professional in Newport News, VA
Active since June 10, 2020
About Mr. Kerry Leon Mizell Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KERRY LEON MIZELL LPC (NPI 1467077032) is an individual professional provider in Newport News, Virginia, licensed in Virginia (0701008557) and active in the NPI registry since June 2020.
NPPES Registry Identity
NPI1467077032
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KERRY LEON MIZELLCredential: LPC
Location Address200 POPLAR AVENewport News, VA 23607-5530
Mailing Address200 Poplar AveNewport News, VA 23607-5530 · (757) 715-4566
Phone(757) 715-4566
Sole ProprietorYes
Enumeration DateJune 10, 2020
NPPES CertifiedJune 10, 2020
✔ NPI 1467077032 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701008557
200 POPLAR AVE, Newport News, VA 23607
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467077032, enumerated as an "individual" on June 10, 2020.
The provider is located at 200 POPLAR AVE NEWPORT NEWS, VA 23607 and the phone number is (757) 715-4566.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
