Provider Demographics
NPI:1831952910
Name:MITCHELL, TRIONNA DANIELLE (CNA , SRNA)
Entity type:Individual
Prefix:
First Name:TRIONNA
Middle Name:DANIELLE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CNA , SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 WHITNEY CT
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-7202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:35 WHITNEY CT
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-7202
Practice Address - Country:US
Practice Address - Phone:678-918-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No171400000XOther Service ProvidersHealth & Wellness Coach
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility