Individual
PENNY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 BROWNING ROAD 520 # 1505, GREENWOOD, MS 38930-6022
(662) 453-6211
Mailing address
318 E CHURCH ST, DUCK HILL, MS 38925-9415
(662) 809-7341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6007
MS
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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