| Jeannie Mitchell, LMHC | |
|
462 Kingsley Ave, Suite #102, Orange Park, FL 32073-4850 | |
| (904) 375-9679 | |
| (904) 579-4781 |
| Full Name | Jeannie Mitchell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 462 Kingsley Ave, Orange Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114348661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH12193 (Florida) | Primary |
| Entity Name | Emdr Trauma Therapy Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407474943 PECOS PAC ID: 8123470192 Enrollment ID: O20240116002531 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannie Mitchell, LMHC 462 Kingsley Ave, Suite #102, Orange Park, FL 32073-4850 Ph: (904) 375-9679 | Jeannie Mitchell, LMHC 462 Kingsley Ave, Suite #102, Orange Park, FL 32073-4850 Ph: (904) 375-9679 |
Nicole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Moody Ave, Orange Park, FL 32073 Phone: 352-478-8273 Fax: 352-478-8088 | |
Annie Sea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 | |
Savannah Elizabeth Lockwood, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113 | |
Mrs. Sandra Ann Currie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1743 County Road 220, Orange Park, FL 32003 Phone: 904-269-6907 Fax: 904-215-2036 | |
Alexandra Richetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-375-8388 | |
Ms. Ursula Stein, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2105 Park Ave, Suite 11, Orange Park, FL 32073 Phone: 904-215-5331 Fax: 904-215-5331 | |
Kristyn Bradley, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1567 Kingsley Ave, Orange Park, FL 32073 Phone: 904-602-9740 Fax: 904-637-4724 |