Healthcare Provider Details

I. General information

NPI: 1720545643
Provider Name (Legal Business Name): KAILA MITCHELL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6855 W CLEARWATER AVE STE K
KENNEWICK WA
99336-1720
US

IV. Provider business mailing address

6855 W CLEARWATER AVE STE K
KENNEWICK WA
99336-1720
US

V. Phone/Fax

Practice location:
  • Phone: 509-521-3690
  • Fax: 888-729-9667
Mailing address:
  • Phone: 509-521-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KAILA L. MITCHELL
Title or Position: OWNER
Credential:
Phone: 509-521-3690