Provider Demographics
NPI:1457011660
Name:RICHMOND-MITCHELL, LAWITA LASHETTE (LCDC)
Entity Type:Individual
Prefix:
First Name:LAWITA
Middle Name:LASHETTE
Last Name:RICHMOND-MITCHELL
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2541
Mailing Address - Country:US
Mailing Address - Phone:469-223-5393
Mailing Address - Fax:
Practice Address - Street 1:5400 W PLANO PKWY STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4855
Practice Address - Country:US
Practice Address - Phone:972-665-7251
Practice Address - Fax:855-568-2494
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15757101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)