Individual
SKYLA D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2242 BRECKINRIDGE RD, JACKSON, MS 39204-4539
(601) 850-3244
Mailing address
2242 BRECKINRIDGE RD, JACKSON, MS 39204-4539
(601) 850-3244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01670076
—
MS
Enumeration date
09/10/2018
Last updated
05/08/2023
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