Stevie Gonzales Mizzi, M.S., L.P.C.
Individual provider Active NPI Mental Health Counselor · Duson, LA
NPI 1508292012 · NPPES record last updated Sep 17, 2013
Key facts
- NPI
- 1508292012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4998 (LA)
- Practice address
- 620 La Maison Rd
Duson, LA 70529-3601 - Phone
- (337) 212-1360
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4998 | LA | MD | Oral and Maxillofacial Surgery (Dentist) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4998 | LA | Yes |
Addresses
Primary practice location
620 La Maison Rd
Duson, LA 70529-3601
Mailing address
620 La Maison Rd
Duson, LA 70529-3601
Phone (337) 212-1360
Other providers in Duson, LA
- Allison S Malveaux
- Vantazia Martice Mason-Morris
- Jaime R. Michot
- Shelley Guidry Miller
- Holly B Mire
- Shawana Mouton
- Neuromonitoring Consultates, LLC
- Audrie Outlaw
- Passionate People Home Care LLC.
- Preeminent Healthcare Systems
All providers in Duson, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2013. 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.