NPI 1073851036

Skiy Mitchell, LAPCCACINBCC

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Columbus, GA

Practice location

Address: 723 Black Oak Dr, Columbus, GA 31907-5353
Phone: (912) 373-5321

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1073851036
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2013
Record last updated: 26 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.