Mitchell, Angela Diane
Mitchell, Angela Diane is an sole proprietor health care provider with primary practice located at 6043 W Interstate 20 , Arlington TX 76017-1042. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mitchell, Angela Diane can be contacted via phone (817) 533-0818.Contact Information
Primary practice address
6043 W Interstate 20
Arlington TX 76017-1042
Phone: (817) 533-0818
Fax: (877) 477-0366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 32135 | Texas |
Profile Details
| NPI number | 1659334076 |
|---|---|
| LBN Legal business name | Mitchell, Angela Diane |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Nov 21st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659334076 | NPPES |
| Texas | MEDICAID | 162269807 | |
| Texas | MEDICAID | 162269801 | |
| Texas | MEDICAID | 162269805 | |
| Texas | MEDICAID | 162269806 |
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