Individual
DR. GEORGEANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1311 MOODY ST, PALESTINE, TX 75801-7823
(903) 729-1005
Mailing address
1311 MOODY ST, PALESTINE, TX 75801-7823
(903) 729-1005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25775
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037EF
BCBS
TX
05
—
063863701
—
TX
Enumeration date
08/16/2005
Last updated
06/06/2024
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