Provider Demographics
NPI:1205318193
Name:MITCHELL, JANEE CHAMBERS (MAMFC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JANEE
Middle Name:CHAMBERS
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MAMFC, LPC, NCC
Other - Prefix:
Other - First Name:JANEE
Other - Middle Name:TIERRA
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAMFC
Mailing Address - Street 1:1503 BETSY ROSS CT
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-2107
Mailing Address - Country:US
Mailing Address - Phone:504-722-9485
Mailing Address - Fax:
Practice Address - Street 1:1503 BETSY ROSS CT
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-2107
Practice Address - Country:US
Practice Address - Phone:504-722-9485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA171M00000X
LA7713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3166828Medicaid