Stephanie Danielle Mitchell, LPC | |
11260 E Jefferson Ave, Detroit, MI 48214-3320 | |
(313) 749-0148 | |
Not Available |
Full Name | Stephanie Danielle Mitchell |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 11260 E Jefferson Ave, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629380332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401223851 (Michigan) | Primary |
101YP2500X | Counselor - Professional | 6401011298 (Michigan) | Secondary |
Entity Name | County Of Macomb |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018 |
Entity Name | Ismail B Sendi Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140 |
Entity Name | Team Mental Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384 |
Entity Name | Michigan Post-acute Medical Services 1 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669901567 PECOS PAC ID: 2163798877 Enrollment ID: O20171025001292 |
Entity Name | Mi Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205418357 PECOS PAC ID: 2264831577 Enrollment ID: O20210518002473 |
Entity Name | Cs Pacs 3 Midwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972368785 PECOS PAC ID: 4183164734 Enrollment ID: O20241008001138 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Danielle Mitchell, LPC Po Box 746723, Atlanta, GA 30374-6723 Ph: () - | Stephanie Danielle Mitchell, LPC 11260 E Jefferson Ave, Detroit, MI 48214-3320 Ph: (313) 749-0148 |
Anthony Jerome Allen, AAS., CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 12010 Linwood St, Detroit, MI 48206 Phone: 313-867-1090 Fax: 313-867-0706 | |
Mr. Brian R Cogliati, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1852 W Grand Blvd, 1852 W. Grand Blvd, Detroit, MI 48208 Phone: 313-894-8444 Fax: 313-894-5542 | |
Mr. Gregory Charles Guice, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Taylor Ave., Detroit, MI 48202 Phone: 313-874-8715 | |
Ms. Carol Potter, MA, BCBA, LBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Hunt St, Detroit, MI 48207 Phone: 248-537-2516 | |
Mrs. Lisa Polk-woolfolk, MS, LLPC, CAC-M Counselor Medicare: Not Enrolled in Medicare Practice Location: 3731 Rivard St, Detroit, MI 48207 Phone: 313-258-9713 | |
Alicia Monique Lurry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8171 Parkland, Detroit, MI 48239 Phone: 313-282-7567 | |
Mr. Darren Kilgore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 269 Walker St, 538, Detroit, MI 48207 Phone: 313-610-0134 |