TAKEISHA MITCHELL-INGRAM – NPI #1801312830
Clinic/Center
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
TAKEISHA MITCHELL-INGRAM is an AHC clinic located in FORT PIERCE, FL. NPPES has assigned the NPI number 1801312830 to TAKEISHA MITCHELL-INGRAM on August 22, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TAKEISHA MITCHELL-INGRAM below.
NPI Profile for
TAKEISHA MITCHELL-INGRAM
(about 9 years ago)
FORT PIERCE, FL 34950-4353 Phone: (772) 905-9030 Fax:
PORT ST LUCIE, FL 34953-4590 Phone: (561) 818-1101 Fax:
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QD1600X - Clinic/Center / Developmental Disabilities (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.