Carol S Mirus in Panama City - Marriage & Family Therapist
Carol S Mirus - NPI 1194889790
Carol S Mirus is a Marriage & Family Therapist in Panama City, Florida. Carol S Mirus practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Carol S Mirus is 1194889790. The last update date is 2007-07-08.
Carol S Mirus's current location address is 1103 Fortune Ave, Panama City, Florida. You can contact this provider via phone number 8507696188 and fax number 8507691261. The mailing address for Carol S Mirus is 1103 Fortune Ave, Panama City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol S Mirus |
|---|---|
| Address | 1103 Fortune Ave, Panama City, Florida |
| Phone Number | 8507696188 |
| Fax Number | 8507691261 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194889790 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1103 Fortune Ave |
|---|---|
| City | Panama City |
| State | Florida (FL) |
| Post Code | 324011831 |
| Phone Number | 8507696188 |
| Fax Number | 8507691261 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MT1140 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z2167 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Carol S Mirus's 1194889790?
The Carol S Mirus's NPI (National Provider Identifier) Number is 1194889790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carol S Mirus's facilities are situated?
The facilities of Carol S Mirus are physically located at the following address: 1103 Fortune Ave, Panama City, FL, 324011831.
What is Carol S Mirus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carol S Mirus is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
When was the Carol S Mirus's 1194889790 issued?
The Carol S Mirus's 1194889790 was issued on 2006-12-20.
As of what date were the details related to Carol S Mirus most recently updated or revised?
The information pertaining to Carol S Mirus, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.