Provider Demographics
NPI:1922496397
Name:MITCHELL, THELMA (MED)
Entity Type:Individual
Prefix:MISS
First Name:THELMA
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4305
Mailing Address - Country:US
Mailing Address - Phone:412-261-2982
Mailing Address - Fax:412-471-7837
Practice Address - Street 1:1835 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4305
Practice Address - Country:US
Practice Address - Phone:412-261-2298
Practice Address - Fax:412-471-7837
Is Sole Proprietor?:No
Enumeration Date:2015-01-07
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health