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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRIS MITCHELL

Active Sole Proprietor

DERRIS MITCHELL is a Professional Counselor healthcare provider located in DOUGLASVILLE, Georgia. NPI 1215222690 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · DOUGLASVILLE, GA

Registration Details

NPI Number
1215222690
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2011 (15.148870107327 yrs)
Last Updated
Jun 14, 2011
License
LPC004016 (GA)
Sole Proprietor
Yes

Practice Information

Address
8303 OFFICE PARK DRIVE
SUITE B
DOUGLASVILLE, GA, 30134
Browse GA providers · Browse ZIP 30134
Phone
6788388333
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in DOUGLASVILLE, GA

Name Credential NPI
MRS. NAOMI S FIELDS M.ED 1043250830
DR. NINA WHITE PHD, LPC, LMHC, NCC 1104845965
MRS. MARTHA KITCHENS M.A. 1881796597
MRS. AREFEH PARTOVI LANGKILDE LPC EDS 1265511109
MS. GABRIELLA GOMEZ M.S., L.P.C. 1558434969
MR. LYLE KEITH COALWELL LPC 1922165869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.