MR. CARLTON WENDELL MITCHELL (NPI# 1821622267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821622267 |
| Entity Type | Individual |
| Full Name | MR. CARLTON WENDELL MITCHELL |
| Credential | LPC (PLLC) |
| Practice Address |
2100 S Mobberly Ave Longview TX 75602-3564 |
| Mailing Address |
114 Tiger Lily Diana TX 75640-3273 |
| Practice Telephone | 9035765136 |
| Mailing Telephone | 9035765136 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| Street Address |
2100 S MOBBERLY AVE |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75602-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932598513 | Letourneau University | Family Medicine | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-20 |
| 1144873415 | Brady Clinton Tomlin | Physical Medicine & Rehabilitation | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2019-07-16 |
| 1659807287 | Portia Phillips | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2017-05-02 |
| 1750774030 | Care First Physicians Pa | Family Medicine | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-03-11 |
| 1487044814 | Leeigh Ann Sudbury | Specialist/Technologist | 2100 S Mobberly Ave, Longview, TX 75602-3564 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
| 1962561597 | Robert Lee Harper | Dentist | 1002 So M L King Jr Blvd, Longview, TX 75602 | 2006-12-08 |
| 1033202700 | Hervey & Bethard Inc. | Durable Medical Equipment & Medical Supplies | 1900 S. High St., Longview, TX 75602 | 2006-10-02 |
| 1023426665 | Longview Wellness Center, Inc | Clinic/Center | 2131 S Mobberly Ave, Longview, TX 75602 | 2014-07-28 |
| 1063748796 | Jeffery Michael Stowers | Pharmacist | 1900 S High St, Longview, TX 75602 | 2009-10-31 |
| 1326541368 | Tonie Elaine Bryant | Licensed Vocational Nurse | 1006 Flanagan Dr, Longview, TX 75602-1013 | 2018-03-15 |
| 1285145839 | Maria Tran | Specialist/Technologist | 16 Covington Dr, Longview, TX 75602-1071 | 2017-10-21 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1982020038 | Julie A Dollison | Perfusionist | 301 S Club Dr, Longview, TX 75602-1511 | 2014-03-13 |
| 1881009231 | Brandi Mccracken | Specialist/Technologist, Other | 301 S Club Dr, Longview, TX 75602-1511 | 2014-06-24 |
| Find all providers in zip 75602 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104323 | Justin Robinson | Counselor | 1127 Judson Rd Ste 130, Longview, TX 75601-5153 | 2020-08-10 |
| 1245864537 | Megan Nora Korthals | Counselor | 1125 Judson Rd Ste 150, Longview, TX 75601-5120 | 2020-02-26 |
| 1295370369 | Donald Fenton | Counselor | 2105 E Loop 281, Longview, TX 75605-8401 | 2019-11-13 |
| 1609338425 | Jodi Anna Spencer | Counselor | 1011 W Loop 281 Ste 2, Longview, TX 75604-2932 | 2019-04-01 |
| 1932677150 | Jamie G. Vanbiber | Counselor | 3032 N Eastman Rd Ste 215, Longview, TX 75605-5019 | 2018-11-06 |
| 1881184182 | Grace Henderson | Counselor | 701 E Marshall Ave Ste 310, Longview, TX 75601-5544 | 2018-05-14 |
| 1801384904 | Cynthia Denise Berry Lowery | Counselor | 414 N Green St, Longview, TX 75601-6409 | 2018-04-25 |
| 1891037784 | Corey L. Gibson | Counselor | 1705 Judson Rd Ste 103-a, Longview, TX 75601-2938 | 2013-03-19 |
| 1467754291 | Ashley Joy Mcmahen | Counselor | 4656 Page Rd, Longview, TX 75605-6228 | 2010-11-30 |
| 1700046497 | Kerry Carl Hagan | Counselor | 441 N Fredonia St, Longview, TX 75601-6427 | 2008-06-16 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.