| Brian Mitchell Llc | |
|
8255 Camby Rd Unit 352 Camby IN 46113-2811 | |
| (619) 983-5023 | |
| Not Available |
| Full Name | Brian Mitchell Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8255 Camby Rd Unit 352, Camby, Indiana |
| Authorized Official Name and Position | Brian Mitchell (OWNER) |
| Authorized Official Contact | 6199835023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Mitchell Llc 8255 Camby Rd Unit 352 Camby IN 46113-2811 Ph: (619) 983-5023 | Brian Mitchell Llc 8255 Camby Rd Unit 352 Camby IN 46113-2811 Ph: (619) 983-5023 |
| NPI Number | 1447096789 |
|---|---|
| Provider Enumeration Date | 07/05/2024 |
| Last Update Date | 07/05/2024 |
| Certification Date | 07/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447096789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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