Provider Demographics
NPI:1659022143
Name:MITCHELL, BATESE JUNE
Entity Type:Individual
Prefix:MRS
First Name:BATESE
Middle Name:JUNE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5528 BEGGS RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-2602
Mailing Address - Country:US
Mailing Address - Phone:407-844-4952
Mailing Address - Fax:
Practice Address - Street 1:5528 BEGGS RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-2602
Practice Address - Country:US
Practice Address - Phone:407-844-4952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-16
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health