Provider Demographics
NPI:1154659647
Name:MITCHELL, HAROLD ROBERTS (LPC)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ROBERTS
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E MAIN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-2418
Mailing Address - Country:US
Mailing Address - Phone:804-245-1313
Mailing Address - Fax:804-780-8409
Practice Address - Street 1:530 E MAIN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-2418
Practice Address - Country:US
Practice Address - Phone:804-245-1313
Practice Address - Fax:804-780-8409
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004209101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional