Mitchell4D, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MITCHELL4D, LLC

Practice address

7736 Waterford Lakes Dr
Suite 1423
Charlotte, NC 28210-7485

Phone

(704) 453-1993

Fax

(704) 248-8392

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Yolonda Mitchell

Title

Member

Phone

(704) 453-1993

Specialties & licenses 1

Addresses

Other names 1

• SIEBEN Doing business as

Locations

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1861629487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 OLD CONCORD RD",
            "address_2": "502",
            "city": "NEWELL",
            "state": "NC",
            "postal_code": "281269999",
            "telephone_number": "704-453-1993",
            "fax_number": "704-248-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 WATERFORD LAKES DR",
            "address_2": "SUITE 1423",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282107485",
            "telephone_number": "704-453-1993",
            "fax_number": "704-248-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL4D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "YOLONDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "704-453-1993",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIEBEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sylvia Mitchell
• Tascha Latrice Mitchell, PHLEBOTOMIST
• Timothy Eugene Mitchell, DO
• Todd Mitchell, M.D.
• Tomina Mitchell
• Ariana Nicole Mitchem
• Donnie S. Mitchem, LPA
• Jericha Mitchem
• Richard J. Mitlehner, MD
• Avick G Mitra, MD

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.