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General NPI Number Information
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NPI Number | 1558873554
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Entity Type | Individual
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Provider Name | FELICIA L. MITCHELL MFTI
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Gender | Female
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 24328 VERMONT AVE STE 210
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City | HARBOR CITY
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State | CA
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Zip | 90710-2300
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Country | US
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Telephone | 818-643-1836
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Fax |
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Provider Business Mailing Address
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Address Line | 1786 N WILLOW WOODS DR UNIT D
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City | ANAHEIM
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State | CA
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Zip | 92807-1458
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Country | US
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Telephone | 714-803-1736
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Fax | 323-261-0809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 71657
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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