DERRIS MITCHELL
NPI 1215222690
Counselor - Professional in Douglasville, GA

Q: What is Derris Mitchell's NPI number?

The NPI number for Derris Mitchell is 1215222690. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Q: What is Derris Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Derris Mitchell was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2011

8303 OFFICE PARK DRIVE, SUITE B, DOUGLASVILLE, GA 30134(678) 838-8333 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Derris Mitchell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRIS MITCHELL (NPI 1215222690) is an individual professional provider in Douglasville, Georgia, licensed in Georgia (LPC004016) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1215222690

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameDERRIS MITCHELL

Location Address8303 OFFICE PARK DRIVE, SUITE BDouglasville, GA 30134

Mailing Address4031 Rockridge CtDouglasville, GA 30135-7451

Phone(678) 838-8333

Sole ProprietorYes

Enumeration DateJune 14, 2011

✔ NPI 1215222690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in GA · LPC004016

8303 OFFICE PARK DRIVE, Douglasville, GA 30134

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT J BODZIOCH MA, LPC

Counselor (Mental Health)

8303 OFFICE PARK DRIVE, B
DOUGLASVILLE, GA 30134

Douglas County (678) 838-8333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derris Mitchell's NPI number?

The NPI number for Derris Mitchell is 1215222690. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Derris Mitchell located?

Derris Mitchell practices at 8303 Office Park Drive Suite B, Douglasville, GA 30134. The listed phone number is (678) 838-8333.

What is Derris Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Derris Mitchell was last updated on June 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.