Provider Demographics
NPI:1366928970
Name:MITCHEL, HUNTER ALEXA
Entity type:Individual
Prefix:
First Name:HUNTER
Middle Name:ALEXA
Last Name:MITCHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HUNTER
Other - Middle Name:ALEXA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7628 LAYFIELD RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:UPATOI
Mailing Address - State:GA
Mailing Address - Zip Code:31829-1850
Mailing Address - Country:US
Mailing Address - Phone:404-594-0814
Mailing Address - Fax:
Practice Address - Street 1:5311 BRIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5621
Practice Address - Country:US
Practice Address - Phone:404-594-0814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker