Mitchells Healthcare Services

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

MITCHELLS HEALTHCARE SERVICES

Practice address

1903 Avenue O
Fort Pierce, FL 34950-2060

Phone

(772) 501-2643

NPI assigned

Dec 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lesa Mitchell

Title

Ceo

Phone

(772) 501-2643

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1114462587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 AVENUE O",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349502060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 AVENUE O",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349502060",
            "telephone_number": "772-501-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELLS HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-501-2643"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takeisha Mitchell-Ingram
• Cheryl Scott Mitchell, M.S. CCC/SLP
• Debra J Mitchell, MSW
• Lesa Mitchell
• Wendy Mitchell
• Cleveland Mitchner
• Jasmine Mitchum, CNM
• Mo Behavior Therapy LLC
• Mo Behavior Therapy LLC
• Molina Burkett Chauhan Wheeley and Fink MD PA (St Lucie Anesthesia Specialists)

• Developmental Disabilities Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.