Provider Demographics
NPI:1396838454
Name:MITCHELL, VALERIE LYNN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LYNN
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 1:945 12TH ST
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-4395
Mailing Address - Country:US
Mailing Address - Phone:575-420-0327
Mailing Address - Fax:804-441-9080
Practice Address - Street 1:5267 GREENWICH RD STE 301B
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6043
Practice Address - Country:US
Practice Address - Phone:757-542-0032
Practice Address - Fax:804-441-9080
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional