Mitchell, Kristin Mae
Mitchell, Kristin Mae is an individual health care provider with primary practice located at 1840 Memorial Dr , Clarksville TN 37043-4647. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mitchell, Kristin Mae can be contacted via phone (931) 249-1081.Contact Information
Primary practice address
1840 Memorial Dr
Clarksville TN 37043-4647
Phone: (931) 249-1081
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4517 | Tennessee |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 16928 | Maryland |
Profile Details
| NPI number | 1487784906 |
|---|---|
| LBN Legal business name | Mitchell, Kristin Mae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jun 6th, 2022 - about 3 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 | 1487784906 | NPPES |
| Tennessee | MEDICAID | 3920038 |
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