Provider Demographics
NPI:1770864761
Name:MITCHELL-JOHNSON, LASHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:LASHELLE
Middle Name:
Last Name:MITCHELL-JOHNSON
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:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:LA
Mailing Address - Zip Code:70086-0131
Mailing Address - Country:US
Mailing Address - Phone:225-276-9235
Mailing Address - Fax:
Practice Address - Street 1:1317 W AIRLINE HWY STE L
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3710
Practice Address - Country:US
Practice Address - Phone:800-756-6781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3334101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional