Provider Demographics
NPI:1518234160
Name:MITCHELL-EL, COLBY BRE-ANNE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:COLBY
Middle Name:BRE-ANNE
Last Name:MITCHELL-EL
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 1:1142 E. 39TH STREET
Mailing Address - Street 2:OPTIONAL
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-2410
Mailing Address - Country:US
Mailing Address - Phone:814-218-9234
Mailing Address - Fax:
Practice Address - Street 1:3910 CAUGHEY RD STE 120
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4097
Practice Address - Country:US
Practice Address - Phone:814-480-9070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006138101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional