Provider Demographics
NPI:1457608333
Name:MITCHELL, SHELETHA ZHAMILLE (BS HEALTH CARE ADMIN)
Entity Type:Individual
Prefix:
First Name:SHELETHA
Middle Name:ZHAMILLE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:BS HEALTH CARE ADMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10816 N COUNCIL RD
Mailing Address - Street 2:#14
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-4385
Mailing Address - Country:US
Mailing Address - Phone:405-431-6282
Mailing Address - Fax:
Practice Address - Street 1:10816 N COUNCIL RD
Practice Address - Street 2:#14
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4385
Practice Address - Country:US
Practice Address - Phone:405-431-6282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker