MEDICARE: MERIKAY MITCHELL CMHC

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	288375-6004	UT
2	101YM0800X	Mental Health Counselor	3137	MS

General Provider Information

NPI Number	:	1730523085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERIKAY MITCHELL CMHC

Provider Business Mailing Address
First Line	:	8000 WESTWOOD CIR
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-4077
Country	:	US
Telephone Number	:	801-557-4828
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 E MURRAY HOLLADAY RD STE 108
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-5384
Country	:	US
Telephone Number	:	385-313-0571
Fax Number	:

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

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	03/23/2026

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