Individual
LAKIESHA HAMPTON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4405 MALL BLVD STE 110-C, UNION CITY, GA 30291-2044
(470) 685-7470
Mailing address
4098 ROBIN CIR, COLLEGE PARK, GA 30349-1663
(678) 509-4566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007087
GA
104100000X
Social Worker
007087
GA
Other
Enumeration date
03/09/2018
Last updated
04/28/2023
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