Provider Demographics
NPI:1285999805
Name:MITCHELL, KAREN (PHD,PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PHD,PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CAMDEN ST STE 510
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-2015
Mailing Address - Country:US
Mailing Address - Phone:210-591-1640
Mailing Address - Fax:210-591-1635
Practice Address - Street 1:311 CAMDEN ST STE 510
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-2015
Practice Address - Country:US
Practice Address - Phone:210-591-1640
Practice Address - Fax:210-591-1635
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122109363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health