| Doctor Name: | MS. MARY KAY COLE-MITCHELL |
| NPI Number: | 1215178157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904007010 |
| Business Practice Address: | 200 Hospital Dr Galax, VA - 243332227 |
| Business Phone Number: | 2762383502 |
| Business Fax Number: | 2762361715 |
| Mailing Address: | 500 Glendale Rd, GALAX |
| State: | VA |
| Postal Code: | 243332208 |
| Phone Number: | 2762361699 |
| Fax Number: | 2762383561 |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 03/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904007010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |