Provider Demographics
NPI:1497078729
Name:MITCHELL, ROBERT B (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:B
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5561 MCNEELY DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7625
Mailing Address - Country:US
Mailing Address - Phone:919-782-0272
Mailing Address - Fax:919-782-0322
Practice Address - Street 1:5561 MCNEELY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-7625
Practice Address - Country:US
Practice Address - Phone:919-782-0272
Practice Address - Fax:919-782-0322
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC972101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional