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NPI Code Detail

MEDICARE: CORRIE MINGES PH.D.

MEDICARE:   CORRIE  MINGES  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor0701008990VA
2101YM0800XMental Health Counselor2416KS
3101YP2500XProfessional Counselor86508TX
4101YP2500XProfessional Counselor3780LA

General Provider Information

NPI Number : 1518335199
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRIE MINGES PH.D.
Provider Business Mailing Address
First Line : 2023 HIGHWAY 1
Second Line :
City : GRAND ISLE
State : LA
Zip : 70358-9717
Country : US
Telephone Number : 254-291-7721
Fax Number :
Provider Business Practice Location Address
First Line : 3152 HIGHWAY 1 APT 1
Second Line :
City : GRAND ISLE
State : LA
Zip : 70358-9753
Country : US
Telephone Number : 254-291-7721
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2015
Last Update Date : 12/16/2025

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Directions to “ CORRIE MINGES PH.D.” Practice Location

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