Individual
EBONY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 WOODMAN DR STE 330, DAYTON, OH 45432-1410
(937) 253-0606
(877) 938-3265
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 641-8554
(877) 938-3265
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
1041S0200X
School Social Worker
W.2000226
OH
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2018
Last updated
03/05/2026
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