Organization
SHARON M MITCHELL LMHC LLC
Active
Other names
SHARON M MITCHELL LMHC PA
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MITCHELL LMHC MS (THERAPIST/PRESIDENT)
(813) 957-0419
Entity
Organization
Contact information
Practice address
150 E BLOOMINGDALE AVE, BRANDON, FL 33511-8151
(813) 957-0419
Mailing address
PO BOX 4019, BRANDON, FL 33509-4019
(813) 957-0419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SMITCH6307
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/24/2020
Last updated
04/10/2020
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