Individual
PANYA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WESTHALL LN STE 207, MAITLAND, FL 32751-7478
(800) 840-2528
(321) 400-5193
Mailing address
7023 BAYWOOD DR, TEMPLE TERRACE, FL 33637-6463
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008332900
—
FL
Enumeration date
07/20/2018
Last updated
07/20/2018
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