Mitchell, Lajuana E

Mitchell, Lajuana E is an sole proprietor health care provider with primary practice located at 4802 E Ray Rd Ste 23-266 , Phoenix AZ 85044-6405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mitchell, Lajuana E can be contacted via phone (602) 620-5507.

Contact Information

Primary practice address
4802 E Ray Rd Ste 23-266 Phoenix AZ 85044-6405
Phone: (602) 620-5507
Fax: (602) 491-2677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013734 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC16755 Arizona
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401013734 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-16755 Arizona

Profile Details

NPI number 1760917553
LBN Legal business name Mitchell, Lajuana E
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2017
Last updated Mar 30th, 2021 - about 5 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 1760917553 NPPES
Arizona MEDICAID 277387

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