Mitchell, Blake P
Mitchell, Blake P is an individual health care provider with primary practice located at 17103 Preston Rd Suite 288, Dallas TX 75248-1332. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mitchell, Blake P can be contacted via phone (214) 629-1389.Contact Information
Primary practice address
17103 Preston Rd Suite 288
Dallas TX 75248-1332
Phone: (214) 629-1389
Fax: (972) 250-0943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32836 | Texas |
Profile Details
| NPI number | 1043296544 |
|---|---|
| LBN Legal business name | Mitchell, Blake P |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Dec 11th, 2007 - about 19 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.
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