Individual
MR. CARLTON WENDELL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC (PLLC)
Contact information
Practice address
110 HABERSHAM DR STE 146, FAYETTEVILLE, GA 30214-1381
(903) 576-5136
Mailing address
110 HABERSHAM DR STE 146, FAYETTEVILLE, GA 30214-1381
(903) 576-5136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19919
NC
101YP2500X
Professional Counselor
Primary
013730
GA
101YP2500X
Professional Counselor
74092
TX
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/25/2020
Last updated
03/16/2026
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