Provider Demographics
NPI:1891181475
Name:MITCHELL, LAKENYA DANIELLE (BS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAKENYA
Middle Name:DANIELLE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:BS, LPC
Other - Prefix:
Other - First Name:LAKENYA
Other - Middle Name:DANIELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:53 BENT TREE DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3735
Mailing Address - Country:US
Mailing Address - Phone:501-259-7297
Mailing Address - Fax:
Practice Address - Street 1:203 PLAZA BLVD # A
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3749
Practice Address - Country:US
Practice Address - Phone:501-222-9382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2309003101YP2500X
ARA1912178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional