Mischa Bourg Arnold, MS, CRC, CVE
Individual provider Active NPI Counselor · Mandeville, LA
NPI 1104340967 · NPPES record last updated Aug 2, 2017
Key facts
- NPI
- 1104340967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 823 Carroll St
Mandeville, LA 70448-5126 - Phone
- (985) 788-2196
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
823 Carroll St
Mandeville, LA 70448-5126
Mailing address
823 Carroll St
Mandeville, LA 70448-5126
Phone (985) 674-0488
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.