Mitchell, Warren
Mitchell, Warren is an sole proprietor health care provider with primary practice located at 1841 Montreal Rd Suite 222, Tucker GA 30084-5712. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mitchell, Warren can be contacted via phone (770) 882-4240.Contact Information
Primary practice address
1841 Montreal Rd Suite 222
Tucker GA 30084-5712
Phone: (770) 882-4240
Fax: (770) 807-8161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW003554 | Georgia |
Profile Details
| NPI number | 1134292667 |
|---|---|
| LBN Legal business name | Mitchell, Warren |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Feb 15th, 2011 - about 14 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 | 1134292667 | NPPES |
| Georgia | MEDICAID | 185548077A |
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