Individual
MIRACLE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
805 N BEECH ST STE 2, TALLULAH, LA 71282-3809
(318) 493-5147
(318) 493-5148
Mailing address
103 GRANITE WAY, VICKSBURG, MS 39183-6952
(601) 826-9947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1951
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08532364
—
MS
Enumeration date
12/01/2014
Last updated
10/29/2025
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