Mitchem, Teresa Danielle
Mitchem, Teresa Danielle is an sole proprietor health care provider with primary practice located at 414 Lake Howell Rd , Maitland FL 32751-5900. She recently has 7 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 / School, Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Mitchem, Teresa Danielle can be contacted via phone (407) 637-2633.Contact Information
Primary practice address
414 Lake Howell Rd
Maitland FL 32751-5900
Phone: (407) 637-2633
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / School | 101YS0200X | ||
Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | ||
Agencies / Case Management | 251B00000X | ||
Agencies / Case Management | 251B00000X | 100523 | Florida |
Profile Details
NPI number | 1225385602 |
---|---|
LBN Legal business name | Mitchem, Teresa Danielle |
Credentials | MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 5th, 2012 |
Last updated | Sep 9th, 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 | 1225385602 | NPPES |
Florida | MEDICAID | 105479600 | |
Florida | MEDICAID | 013510800 |
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