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General NPI Number Information
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NPI Number | 1518335199
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Entity Type | Individual
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Provider Name | CORRIE MINGES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/13/2015
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 3152 HIGHWAY 1 APT 1
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City | GRAND ISLE
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State | LA
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Zip | 70358-9753
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Country | US
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Telephone | 254-291-7721
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Fax |
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Provider Business Mailing Address
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Address Line | 2023 HIGHWAY 1
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City | GRAND ISLE
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State | LA
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Zip | 70358-9717
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Country | US
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Telephone | 254-291-7721
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701008990
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2416
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86508
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3780
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License Number State | LA
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