Mr Philip Mitchell, LPC | |
1041 Sharon Rd, Ste 201, King William, VA 23086-3347 | |
(804) 769-2751 | |
(804) 769-3125 |
Full Name | Mr Philip Mitchell |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1041 Sharon Rd, King William, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700203536 | NPI | - | NPPES |
1497717615 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0701005707 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Philip Mitchell, LPC 300 S 11th St, Apt 3121, Richmond, VA 23219-1942 Ph: (757) 775-5814 | Mr Philip Mitchell, LPC 1041 Sharon Rd, Ste 201, King William, VA 23086-3347 Ph: (804) 769-2751 |
Ms. Leann Marie Hupalo, LPC, LSATP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 Sharon Rd Ste 203, King William, VA 23086 Phone: 804-398-8401 | |
Hollie Bateman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1041 Sharon Rd, Ste 201, King William, VA 23086 Phone: 804-769-2751 Fax: 804-769-3125 |