MEDICARE: RAKIBA L MITCHELL LPC, NCC

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
1	101YS0200X	School Counselor	IF0000000196562	MI
2	101YP2500X	Professional Counselor	6401011321	MI

General Provider Information

NPI Number	:	1487381158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAKIBA L MITCHELL LPC, NCC

Provider Business Mailing Address
First Line	:	SOUTHEASTERN HIGH SCHOOL
Second Line	:	3030 FAIRVIEW
City	:	DETROIT
State	:	MI
Zip	:	48214
Country	:	US
Telephone Number	:	313-866-4500
Fax Number	:

Provider Business Practice Location Address
First Line	:	SOUTHEASTERN HIGH SCHOOL
Second Line	:	3030 FAIRVIEW
City	:	DETROIT
State	:	MI
Zip	:	48214
Country	:	US
Telephone Number	:	313-866-4500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2022
Last Update Date	:	08/03/2022

Similar Medicare Providers

1578420295 — TONI SHELLEY CHW
Practice Location Address:

7900 KERCHEVAL ST
DETROIT, MI
48214-2439

Practice Phone: 313-921-5500
Practice Fax: 313-922-0824

1114544426 — MS. QUANTA DAWN DUNCAN RDN
Practice Location Address:

10809 MACK AVE
DETROIT, MI
48214-2119

Practice Phone: 313-824-1000
Practice Fax:

1306848619 — SYLVIA G MUSTONEN DO
Practice Location Address:

10809 MACK AVE
DETROIT, MI
48214-2119

Practice Phone: 313-824-1000
Practice Fax: 313-824-9000

1386648897 — MS. JONNIE M HAMILTON PNP
Practice Location Address:

2301 VAN DYKE ST
DETROIT, MI
48214-3958

Practice Phone: 313-866-9973
Practice Fax: 313-866-5749

1801892229 — MOROUN NURSING HOME
Practice Location Address:

8045 E JEFFERSON AVE
DETROIT, MI
48214-2627

Practice Phone: 313-821-3525
Practice Fax: 313-821-3544

1679566459 — KNIGHT DRUGS, INC.
Practice Location Address:

9149 E JEFFERSON AVE
DETROIT, MI
48214-2906

Practice Phone: 313-822-2260
Practice Fax: 313-822-1300

1285627026 — KNIGHT DRUGS EAST SEVEN MILE, INC.
Practice Location Address:

7900 KERCHEVAL ST , #131
DETROIT, MI
48214-2439

Practice Phone: 313-921-0154
Practice Fax: 313-921-0185

Directions to “ RAKIBA L MITCHELL LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.