Provider Demographics
NPI:1326414871
Name:NOEL MITCHELL, NAKITA CHANTEL (LCSW)
Entity type:Individual
Prefix:MS
First Name:NAKITA
Middle Name:CHANTEL
Last Name:NOEL MITCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NAKITA
Other - Middle Name:CHANTEL
Other - Last Name:NOEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:5 GARDENVIEW PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6674
Mailing Address - Country:US
Mailing Address - Phone:919-265-8861
Mailing Address - Fax:
Practice Address - Street 1:4819 EMPEROR BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4689
Practice Address - Country:US
Practice Address - Phone:919-519-1559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0111971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical