Provider Demographics
NPI:1801534953
Name:MITCHELL, ERSHA LASHON (LMSW)
Entity type:Individual
Prefix:
First Name:ERSHA
Middle Name:LASHON
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12808 W.AIRPORT BLVD
Mailing Address - Street 2:#270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77498
Mailing Address - Country:US
Mailing Address - Phone:832-275-2673
Mailing Address - Fax:832-351-2673
Practice Address - Street 1:12808 W.AIRPORT BLVD
Practice Address - Street 2:#270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77498
Practice Address - Country:US
Practice Address - Phone:832-275-2673
Practice Address - Fax:832-351-2673
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107644101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty