| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELVIN DEON CARSON | 1922679950 | 2021-07-12 |
Kelvin Deon Carson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922679950. Registration indicates Kelvin Deon Carson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Kelvin Deon Carson |
| Practice Office Address | 152 HIGHWAY 7 S OXFORD, MS US |
| Practice Office Telephone | 6622347521 |
| Practice Office Fax | 6622363071 |
| Mailing Address | 152 HIGHWAY 7 S OXFORD, MS 386555392 US |
| Business Telephone | 6622347521 |
| Business Fax | 6622363071 |
| Code | Practice | License No State |
|---|---|---|
| 104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 802472154
MS |
| 104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers |