| Mikki Marie Olsson, LPC | |
|
130 Jefferson St, Mansfield, LA 71052-2602 | |
| (318) 872-2700 | |
| (318) 872-6214 |
| Full Name | Mikki Marie Olsson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 130 Jefferson St, Mansfield, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144994146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 5133 (Louisiana) | Primary |
| Entity Name | Desoto Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467455154 PECOS PAC ID: 2163321829 Enrollment ID: O20040102000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikki Marie Olsson, LPC Po Box 1636, Mansfield, LA 71052-1636 Ph: (318) 270-3265 | Mikki Marie Olsson, LPC 130 Jefferson St, Mansfield, LA 71052-2602 Ph: (318) 872-2700 |
Sonya Denise Warfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Polk St, Mansfield, LA 71052 Phone: 318-621-0910 | |
Umika Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5060 Highway 509 Apt 32, Mansfield, LA 71052 Phone: 318-461-5530 | |
Christopher Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Polk St, Mansfield, LA 71052 Phone: 318-871-5566 Fax: 318-871-1076 | |
Laquardrick Canada, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Carolyn St, Mansfield, LA 71052 Phone: 318-461-1260 | |
Mr. Orlando Wade Mack, BACHELORS Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 Polk St, Mansfield, LA 71052 Phone: 318-871-5566 Fax: 318-871-1076 | |
Corey Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 Washington Ave, Mansfield, LA 71052 Phone: 318-608-4402 | |
Mr. Lovia Hunter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 317 Murphy St, Mansfield, LA 71052 Phone: 318-575-9727 |