MEDICARE: MITCHELL HOLDINGS LLC

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1811746217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MITCHELL HOLDINGS LLC

Provider Business Mailing Address
First Line	:	3828 JAMES HILL CIR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-4706
Country	:	US
Telephone Number	:	205-532-0025
Fax Number	:

Provider Business Practice Location Address
First Line	:	3828 JAMES HILL CIR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-4706
Country	:	US
Telephone Number	:	205-532-0025
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID MITCHELL
Credential	:
Telephone Number	:	205-500-0000

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	05/16/2024

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