Provider Demographics
NPI:1679601769
Name:MITCHELL, MARLA MAY (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:MARLA
Middle Name:MAY
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MS
Other - First Name:MARLA
Other - Middle Name:MAY
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5465 PLEASURE POINT LN SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-2637
Mailing Address - Country:US
Mailing Address - Phone:425-457-6299
Mailing Address - Fax:
Practice Address - Street 1:5465 PLEASURE POINT LN SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-2637
Practice Address - Country:US
Practice Address - Phone:425-457-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health