Provider Demographics
NPI:1841734902
Name:REBECCA MITCHELL COUNSELING
Entity Type:Organization
Organization Name:REBECCA MITCHELL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-322-1644
Mailing Address - Street 1:1386 JERSEY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CONFLUENCE
Mailing Address - State:PA
Mailing Address - Zip Code:15424-2567
Mailing Address - Country:US
Mailing Address - Phone:724-322-1644
Mailing Address - Fax:724-814-3287
Practice Address - Street 1:280 W HIGH ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1312
Practice Address - Country:US
Practice Address - Phone:724-322-1644
Practice Address - Fax:724-814-3287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty