Individual provider · Type 1 NPI

Mia Shavon Agelu Carroll

Mental Health Counselor · Mansfield, TX

NPI number 1821929902 Active

Practice location

201 E Debbie Ln
Mansfield, TX 76063-2924

Mailing address

2901 Mayfield Rd Apt 5213
Grand Prairie, TX 75052-7582

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1821929902

Mia Shavon Agelu Carroll's National Provider Identifier is 1821929902, issued on May 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mansfield, TX. The record was last updated on May 27, 2026.