Individual
JEREMIAH MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8001 KENTSHIRE DR, LAS VEGAS, NV 89117-3927
(213) 640-7174
Mailing address
8001 KENTSHIRE DR, LAS VEGAS, NV 89117-3927
(213) 640-7174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2600020087
NV
172V00000X
Community Health Worker
2600020087
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101
—
NV
05
—
1017
—
NV
05
—
1023
—
NV
05
—
1129
—
NV
Enumeration date
02/24/2014
Last updated
02/24/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us