| NPI | 1134704125 |
|---|---|
| Doing Business As | STACEY L. MITCHELL |
| Entity Type | Organization |
| Authorized Contact | STACEY LASANDRA MITCHELL Owner 678-590-1232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-12-30 |