Mitchell, Jennifer

Mitchell, Jennifer is an sole proprietor health care provider with primary practice located at 1067 Fm 360 Ste 607, New Braunfels TX 78130-6897. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mitchell, Jennifer can be contacted via phone (254) 744-0317.

Contact Information

Primary practice address
1067 Fm 360 Ste 607 New Braunfels TX 78130-6897
Phone: (254) 744-0317
Fax: (830) 625-5877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31742 Texas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 31742 Texas

Profile Details

NPI number 1073644886
LBN Legal business name Mitchell, Jennifer
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jun 15th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073644886 NPPES
Texas MEDICAID 158362704

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