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NPI Code Detail

MEDICARE: TRACI MITCHELL PLLC

MEDICARE: TRACI MITCHELL PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1326986340
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRACI MITCHELL PLLC
Provider Business Mailing Address
First Line : 5880 COUNTY ROAD 281
Second Line :
City : KAUFMAN
State : TX
Zip : 75142-5147
Country : US
Telephone Number : 972-998-1269
Fax Number :
Provider Business Practice Location Address
First Line : 5880 COUNTY ROAD 281
Second Line :
City : KAUFMAN
State : TX
Zip : 75142-5147
Country : US
Telephone Number : 972-998-1269
Fax Number :
Authorized Official
Title or Position : LPC
Name : TRACI MICHELLE MITCHELL
Credential :
Telephone Number : 972-998-1269
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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