Provider Demographics
NPI:1205359528
Name:AR MITCHELL CONSULTANTS, LLC
Entity Type:Organization
Organization Name:AR MITCHELL CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MITCHELL WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, C-ASWCM, LCSW
Authorized Official - Phone:334-782-2743
Mailing Address - Street 1:90-F GLENDA TRACE #306
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-3391
Mailing Address - Country:US
Mailing Address - Phone:762-499-7823
Mailing Address - Fax:
Practice Address - Street 1:19 GREENCOVE CT
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-3391
Practice Address - Country:US
Practice Address - Phone:334-782-2743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No302F00000XManaged Care OrganizationsExclusive Provider Organization