Provider Demographics
NPI:1932163821
Name:MITCHELL, LINDA P (MS LMHC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:P
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1886 BRANCHWATER TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-8510
Mailing Address - Country:US
Mailing Address - Phone:407-382-8353
Mailing Address - Fax:407-384-2242
Practice Address - Street 1:13000 AVALON LAKE DR
Practice Address - Street 2:SUITE 304
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6434
Practice Address - Country:US
Practice Address - Phone:407-529-6299
Practice Address - Fax:407-384-2242
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health