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General NPI Number Information
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NPI Number | 1205359528
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Entity Type | Organization
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Legal Business Name | AR MITCHELL CONSULTANTS, LLC
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 19 GREENCOVE CT
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City | NEWNAN
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State | GA
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Zip | 30265-3391
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Country | US
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Telephone | 334-782-2743
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Fax |
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Provider Business Mailing Address
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Address Line | 90-F GLENDA TRACE #306
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City | NEWNAN
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State | GA
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Zip | 30265-3391
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Country | US
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Telephone | 762-499-7823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AISHA R MITCHELL WASHINGTON
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Credential | MS, C-ASWCM, LCSW
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Telephone | 334-782-2743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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