MEDICARE: JODIE MITCHELL-HARRIS

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558833616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODIE MITCHELL-HARRIS

Provider Business Mailing Address
First Line	:	6303 SEVEN SPRINGS BLVD APT C
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-1668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 SEVEN SPRINGS BLVD APT C
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-1668
Country	:	US
Telephone Number	:	561-313-6421
Fax Number	:

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

Provider Enumeration Date	:	12/28/2018
Last Update Date	:	05/18/2026

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Directions to “ JODIE MITCHELL-HARRIS ” Practice Location

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