Provider Demographics
NPI:1275372898
Name:MITCHELL COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:MITCHELL COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-832-2288
Mailing Address - Street 1:404 GALLERIA DR STE 4
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-4383
Mailing Address - Country:US
Mailing Address - Phone:662-832-2228
Mailing Address - Fax:
Practice Address - Street 1:404 GALLERIA DR STE 4
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-4383
Practice Address - Country:US
Practice Address - Phone:662-832-2288
Practice Address - Fax:662-236-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty