Grant, Elizabeth Mitchell

Grant, Elizabeth Mitchell is an individual health care provider with primary practice located at 901 S Pearl St , Centralia WA 98531-2413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Grant, Elizabeth Mitchell can be contacted via phone (301) 943-7376.

Contact Information

Primary practice address
901 S Pearl St Centralia WA 98531-2413
Phone: (301) 943-7376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0888 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60621612 Washington

Profile Details

NPI number 1376720755
LBN Legal business name Grant, Elizabeth Mitchell
Credentials MHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2008
Last updated Apr 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376720755 NPPES
Maryland MEDICAID 505201700

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