Provider Demographics
NPI:1750778007
Name:MITCHELL, PRINCESS (LCMHC-A)
Entity type:Individual
Prefix:MRS
First Name:PRINCESS
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 CHERRY LAUREL DR APT 104
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-0050
Mailing Address - Country:US
Mailing Address - Phone:910-736-9111
Mailing Address - Fax:
Practice Address - Street 1:805 SPRING FOREST RD STE 800
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9130
Practice Address - Country:US
Practice Address - Phone:919-418-1718
Practice Address - Fax:919-794-5715
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2023-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional