Corey Mitchell
Case Manager/Care Coordinator in Gretna, LA. Individual provider (NPI-1).
NPI number1710795083
StatusActive
Last updated in NPPESDec 19, 2024
Details
- NPI
- 1710795083
- Entity type
- Individual (NPI-1)
- Name
- Corey Mitchell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2024
- Certification date
- Dec 19, 2024
- Last updated
- Dec 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1202 Monroe StGretna, LA 70053-2307
Phone 504-309-6798 · Fax 504-407-2115
Mailing address
1202 Monroe StGretna, LA 70053-2307
Phone 504-309-6798 · Fax 504-407-2115
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 120 Case Manager/Care Coordinator providers in Gretna · All 1,192 providers in Gretna
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