Organization
MITCHELL4D, LLC
Active
Other names
SIEBEN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLONDA MITCHELL (MEMBER)
(704) 453-1993
Entity
Organization
Contact information
Practice address
7736 WATERFORD LAKES DR, SUITE 1423, CHARLOTTE, NC 28210-7485
(704) 453-1993
(704) 248-8392
Mailing address
8105 OLD CONCORD RD, 502, NEWELL, NC 28126-9999
(704) 453-1993
(704) 248-8392
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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