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NPI Code Detail

MEDICARE: JEANNIE MITCHELL LMHC

MEDICARE: JEANNIE MITCHELL LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH12193FL

General Provider Information

NPI Number : 1114348661
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNIE MITCHELL LMHC
Provider Business Mailing Address
First Line : 4609 US HIGHWAY 17 STE 1
Second Line :
City : FLEMING ISLAND
State : FL
Zip : 32003-4818
Country : US
Telephone Number : 904-375-2353
Fax Number : 904-375-2349
Provider Business Practice Location Address
First Line : 4609 US HIGHWAY 17 STE 1
Second Line :
City : FLEMING ISLAND
State : FL
Zip : 32003-4818
Country : US
Telephone Number : 904-375-2353
Fax Number : 904-375-2349
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2014
Last Update Date : 01/26/2026

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Directions to “ JEANNIE MITCHELL LMHC” Practice Location

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