| Organization Name: | HOLLY T MITCHELL PLLC |
| NPI Number: | 1215362223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY TABITHA MITCHELL (CEO) |
| Mailing Address: | 713 W Broad St Suite 200 Forney |
| State: | TX US |
| Postal Code: | 751269147 |
| Phone Number: | 9725525559 |
| Fax Number: | 9725525499 |
| NPI Enumeration Date: | 09/09/2013 |
| NPI Last Update Date: | 09/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 68375 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |