Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TAKEISHA MITCHELL-INGRAM
Active Sole ProprietorDevelopmental Disabilities Clinic · FORT PIERCE, FL
Registration Details
- NPI Number
- 1801312830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2017 (8.7042967306794 yrs)
- Last Updated
- Aug 22, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 S INDIAN RIVER DR STE 202FORT PIERCE, FL, 349504353Browse FL providers · Browse ZIP 34950
- Phone
- 7729059030
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in FORT PIERCE, FL
| Name | Credential | NPI |
|---|---|---|
| ASHLEY ODOM | — | 1750824470 |
| GAYLEANN KING | — | 1063920882 |
| CHRISTY WOODS | — | 1134602691 |
| MS. LEONA M. KELLY | — | 1265083232 |
| TARIA JONES | — | 1144811431 |
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.