Individual
LATESHA SHADAWN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2310 PARKLAKE DR NE STE 171, ATLANTA, GA 30345-2933
(770) 569-3640
(678) 526-5188
Mailing address
1313 E WALDBURG ST, SAVANNAH, GA 31404-2035
(912) 247-1178
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001802
GA
Other
Enumeration date
12/11/2020
Last updated
12/14/2020
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