Mitchell, Susan A.
Mitchell, Susan A. is an individual health care provider with primary practice located at 5965 S 900 E Ste 240 , Salt Lake City UT 84121-1720. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mitchell, Susan A. can be contacted via phone (801) 263-7231.Contact Information
Primary practice address
5965 S 900 E Ste 240
Salt Lake City UT 84121-1720
Phone: (801) 263-7231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 2662563501 | Utah |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2662563501 | Utah |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2662563501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2662563501 | Utah |
Profile Details
| NPI number | 1710965447 |
|---|---|
| LBN Legal business name | Mitchell, Susan A. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Oct 28th, 2016 - about 8 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 | 1710965447 | NPPES |
| Utah | Other | 107001386101 | INTERMTN. HEALTH CARE |
| Utah | Other | 94293834B | INTERMTN. HEALTH CARE |
| Utah | Other | 002200233 | INTERMTN. HEALTH CARE |
| Utah | Other | 262038 | INTERMTN. HEALTH CARE |
| Utah | Other | 942938348MI2 | INTERMTN. HEALTH CARE |
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