Provider Demographics
NPI:1346329711
Name:MITCHELL, JOYCE S (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:S
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14000 WOODSIDE CV
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-7379
Mailing Address - Country:US
Mailing Address - Phone:662-832-2288
Mailing Address - Fax:662-236-9310
Practice Address - Street 1:299 S 9TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655
Practice Address - Country:US
Practice Address - Phone:662-236-9333
Practice Address - Fax:662-236-9310
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1167101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional