Individual provider · Type 1 NPI

Tylisa Mitchell

Mental Health Counselor · Raleigh, NC

NPI number 1326411745 Active

Practice location

1100 Logger Ct, Ste C100
Raleigh, NC 27609-8525

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1326411745

Tylisa Mitchell's National Provider Identifier is 1326411745, issued on Nov 6, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Nov 6, 2015.