Individual
MRS. COURTNEY RACHAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 RODGERS DR, SEARCY, AR 72143-7432
(501) 203-0857
(501) 203-0864
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6304-C
AR
1041C0700X
Clinical Social Worker
Primary
6304-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208151795
—
AR
Enumeration date
07/07/2011
Last updated
03/17/2018
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