DR. CARLA C MITCHELL EDD
NPI 1770053910
Counselor - Mental Health in Shreveport, LA
Active since November 30, 2018
About Dr. Carla C Mitchell Edd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLA C MITCHELL EDD (NPI 1770053910) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since November 2018.
NPPES Registry Identity
NPI1770053910
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CARLA C MITCHELLCredential: EDD
Location Address543 STONER AVEShreveport, LA 71101-4122
Mailing Address8025 Burr Oak DrGreenwood, LA 71033-3326 · (318) 422-2202 · Fax (318) 673-9904
Phone(318) 673-9901
Fax(318) 673-9904
Sole ProprietorYes
Enumeration DateNovember 30, 2018
✔ NPI 1770053910 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
543 STONER AVE, Shreveport, LA 71101
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 20
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 1770053910, enumerated as an "individual" on November 30, 2018.
The provider is located at 543 STONER AVE SHREVEPORT, LA 71101 and the phone number is (318) 673-9901.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
