Provider Demographics
NPI:1538488952
Name:LOUIS, MIRCHELLE KESSEL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MIRCHELLE
Middle Name:KESSEL
Last Name:LOUIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6744 HARVEST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5421
Mailing Address - Country:US
Mailing Address - Phone:214-315-6750
Mailing Address - Fax:972-960-0549
Practice Address - Street 1:12700 HILLCREST RD
Practice Address - Street 2:SUITE 172
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2033
Practice Address - Country:US
Practice Address - Phone:214-315-6750
Practice Address - Fax:972-960-0549
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX407971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical