Mizelle-Johnson, Nathalie Diona

Mizelle-Johnson, Nathalie Diona is an sole proprietor health care provider with primary practice located at 1709 Evans St Suite B, Greenville NC 27834-5772. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mizelle-Johnson, Nathalie Diona can be contacted via phone (252) 756-7848.

Contact Information

Primary practice address
1709 Evans St Suite B Greenville NC 27834-5772
Phone: (252) 756-7848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006205 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2084 North Carolina

Profile Details

NPI number 1013117902
LBN Legal business name Mizelle-Johnson, Nathalie Diona
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2007
Last updated Apr 2nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013117902 NPPES
North Carolina MEDICAID 6103993

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