| Chante Wellington Mitchell, Ph.d., LLC | |
|
2400 Pleasant Hill Rd Ste 165 Duluth GA 30096-1702 | |
| (770) 476-1967 | |
| (770) 476-0377 |
| Full Name | Chante Wellington Mitchell, Ph.d., LLC |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2400 Pleasant Hill Rd Ste 165, Duluth, Georgia |
| Authorized Official Name and Position | Chante Wellington Mitchell (OWNER/PROVIDER) |
| Authorized Official Contact | 7704760377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chante Wellington Mitchell, Ph.d., LLC 2400 Pleasant Hill Rd Ste 165 Duluth GA 30096-1702 Ph: (770) 476-1967 | Chante Wellington Mitchell, Ph.d., LLC 2400 Pleasant Hill Rd Ste 165 Duluth GA 30096-1702 Ph: (770) 476-1967 |
| NPI Number | 1831865674 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831865674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
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