Provider Demographics
NPI:1194253575
Name:MITCHELL, BETH LYN (MS)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:LYN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 TOURAINE WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-1957
Mailing Address - Country:US
Mailing Address - Phone:603-718-0339
Mailing Address - Fax:
Practice Address - Street 1:21 TOURAINE WAY
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-1957
Practice Address - Country:US
Practice Address - Phone:603-718-0339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor