| Andrea M Mitchell, LPC | |
|
4404 Leisure Time Dr, Diamondhead, MS 39525-3237 | |
| (281) 687-3322 | |
| Not Available |
| Full Name | Andrea M Mitchell |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 16 Years |
| Location | 4404 Leisure Time Dr, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497050835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 66539 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Harbor Clinic Llc | 1759615693 | 7 |
| Entity Name | Safe Harbor Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699242891 PECOS PAC ID: 1759615693 Enrollment ID: O20190626001020 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea M Mitchell, LPC 1430 Hanakealoha Pl, Diamondhead, MS 39525-3004 Ph: (281) 687-3322 | Andrea M Mitchell, LPC 4404 Leisure Time Dr, Diamondhead, MS 39525-3237 Ph: (281) 687-3322 |
Mrs. Kimberly Nell Averett, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 899 Hanalei Cir, Diamondhead, MS 39525 Phone: 504-439-4011 | |
Miss Lois Rose Calamusa, Counselor Medicare: Medicare Enrolled Practice Location: 87142 Golf Club Dr, Diamondhead, MS 39525 Phone: 954-288-2508 | |
Susan H Niemann, PHD, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 4404 Leisure Time Dr, Diamondhead, MS 39525 Phone: 228-255-6088 | |
Kenneth Edward Hultman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Laa La Way, Diamondhead, MS 39525 Phone: 228-327-5375 |