Antoinette Mitchell, LPC
Individual provider Active NPI Professional Counselor · Sherman, TX
NPI 1629425640 · NPPES record last updated May 19, 2016
Key facts
- NPI
- 1629425640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 72055 (TX)
- Practice address
- 824 W Pelton St
Sherman, TX 75092-2948 - Phone
- (903) 815-8011
- NPI assigned
- May 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72055 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antoinette Mitchell | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 72055 | TX | Yes |
Addresses
Primary practice location
824 W Pelton St
Sherman, TX 75092-2948
Mailing address
824 W Pelton St
Sherman, TX 75092-2948
Phone (903) 815-8011
Other providers in Sherman, TX
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- Minimally Invasive Neurosurgery PLLC
- Isabel Esperansa Mireles
- Sameera Mirza
- Philomena Hamilton Mistretta
- Lacie Dyanne Mitchell
- Mobile Wound Care LLC
- Nicole Moffitt
- Alyssa Marie Molina
- Todd Alexander Molski
All providers in Sherman, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.