Mr Carlton Wendell Mitchell, LPC (PLLC) | |
2100 S Mobberly Ave, Longview, TX 75602-3564 | |
(903) 576-5136 | |
Not Available |
Full Name | Mr Carlton Wendell Mitchell |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2100 S Mobberly Ave, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821622267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlton Wendell Mitchell, LPC (PLLC) 114 Tiger Lily, Diana, TX 75640-3273 Ph: (903) 576-5136 | Mr Carlton Wendell Mitchell, LPC (PLLC) 2100 S Mobberly Ave, Longview, TX 75602-3564 Ph: (903) 576-5136 |
Aaron Clark Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Wain Dr, Longview, TX 75604 Phone: 903-806-1824 | |
Sally K. Moseley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 W. Marshall Ave., Suite 430, Longview, TX 75604 Phone: 903-297-4592 Fax: 903-297-4689 | |
Mrs. Amanda Jameson, LPC, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Gilmer Rd, Longview, TX 75604 Phone: 903-918-7797 Fax: 903-295-5858 | |
Shelley Elaine Norman, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N 4th St, Longview, TX 75601 Phone: 903-758-2471 | |
Hollye Goodson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 950 N 4th St, Longview, TX 75601 Phone: 903-758-2471 | |
Mr. Mark Hayes, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 E Cotton St, Longview, TX 75601 Phone: 903-757-9383 Fax: 903-757-4714 | |
Janna C Binford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 708 Willowood St, Longview, TX 75604 Phone: 903-806-5440 |