Provider Demographics
NPI:1912758715
Name:MITCHELL, MIKAYLA SHALYRA (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:MIKAYLA
Middle Name:SHALYRA
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 S MASON RD APT 1222
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-7708
Mailing Address - Country:US
Mailing Address - Phone:863-602-9882
Mailing Address - Fax:
Practice Address - Street 1:1539 S MASON RD STE 33
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-4559
Practice Address - Country:US
Practice Address - Phone:346-540-6532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12199101YM0800X
TX82286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health