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MS. SUSAN MIRE
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669849014
Individual Registrant:MS. SUSAN MIRE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2346 BELMAR DR APT 1 BELLEAIR BLUFFS, FL 33770-2053 US
Tel: 504-606-5433 Fax: --
Tel: 504-606-5433 Fax: --
Contact information for business:
1115 W WILLIAM DAVID PKWY METAIRIE, LA 70005-1644 US
Tel: 504-606-5433 Fax: --
Tel: 504-606-5433 Fax: --
Registration Information:
NPI: 1669849014
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | IMH10713 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
