Doctor Name: | ANGELA MITCHELL |
NPI Number: | 1912377060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0008485666 |
Business Practice Address: | 1305 E Bayou Rd Apt 303 Donaldsonville, LA - 703463800 |
Business Phone Number: | 2254478097 |
Business Fax Number: | |
Mailing Address: | 1305 E Bayou Rd, Apt 303 DONALDSONVILLE |
State: | LA |
Postal Code: | 703463800 |
Phone Number: | 2254478097 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2015 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0008485666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |