Healthcare Provider Details

I. General information

NPI: 1285223024
Provider Name (Legal Business Name): ALEXIS RINEE MITCHELL LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6885 CLIFFDALE RD STE 202
FAYETTEVILLE NC
28314-2834
US

IV. Provider business mailing address

4925 FISHBURG RD
HUBER HEIGHTS OH
45424-5306
US

V. Phone/Fax

Practice location:
  • Phone: 910-339-0400
  • Fax: 910-339-0396
Mailing address:
  • Phone: 937-723-8272
  • Fax: 937-723-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA22658
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-21-151129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: