| Sharon M Mitchell Lmhc Llc | |
|
150 E Bloomingdale Ave Brandon FL 33511-8151 | |
| (813) 957-0419 | |
| Not Available |
| Full Name | Sharon M Mitchell Lmhc Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 E Bloomingdale Ave, Brandon, Florida |
| Authorized Official Name and Position | Sharon Mitchell Lmhc (THERAPIST/PRESIDENT) |
| Authorized Official Contact | 8139570419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharon M Mitchell Lmhc Llc Po Box 4019 Brandon FL 33509-4019 Ph: (813) 957-0419 | Sharon M Mitchell Lmhc Llc 150 E Bloomingdale Ave Brandon FL 33511-8151 Ph: (813) 957-0419 |
| NPI Number | 1447887112 |
|---|---|
| Provider Enumeration Date | 03/24/2020 |
| Last Update Date | 04/10/2020 |
| Certification Date | 04/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447887112 | NPI | - | NPPES |
| SMITCH6307 | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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