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MRS. TAKEISHA MITCHELL-INGRAM
NPI 1801312830
Clinic/Center - Developmental Disabilities in Fort Pierce, FL

Active since August 22, 2017
130 S INDIAN RIVER DR STE 202, FORT PIERCE, FL 34950(772) 905-9030 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Takeisha Mitchell-ingram NPPES

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

MRS. TAKEISHA MITCHELL-INGRAM (NPI 1801312830) is an individual developmental disabilities provider in Fort Pierce, Florida and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1801312830
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameMRS. TAKEISHA MITCHELL-INGRAM
Location Address130 S INDIAN RIVER DR STE 202Fort Pierce, FL 34950-4353
Mailing Address1778 Sw Newport Isles BlvdPort St Lucie, FL 34953-4590 · (561) 818-1101
Phone(772) 905-9030
Sole ProprietorYes
Enumeration DateAugust 22, 2017
✔ NPI 1801312830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
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.).
130 S INDIAN RIVER DR STE 202, Fort Pierce, FL 34950
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Other Providers at the Same Location NPPES 20

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

PREMIER PLUS MEDICAL SUPPLIES INC
Durable Medical Equipment & Medical Supplies
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (954) 866-0251
MRS. SHERYL PALMER
Counselor (Mental Health)
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (772) 773-0229
FOCUSED ABA LLC
Behavior Analyst
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (876) 865-9218
A PLUS CARE BEHAVIOR THERAPY INC
Behavior Analyst
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (305) 338-8034
MR. ANTONIO MARQUEL JONES LMHC
Counselor (Mental Health)
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (772) 971-6118
LITTLE CLOUD THERAPY SERVICES LLC
Behavior Analyst
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (786) 327-4273
ADVENT PRESTIGE CARE LLC
Community/Behavioral Health
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (772) 773-0229
JENNIFER HANDMAN PHLEBOTOMIST
Technician, Pathology (Phlebotomy)
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL 34950
St. Lucie County (347) 680-0121

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 Takeisha Mitchell-ingram's NPI number?

The NPI number for Takeisha Mitchell-ingram is 1801312830. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Takeisha Mitchell-ingram located?

Takeisha Mitchell-ingram practices at 130 S Indian River Dr Ste 202, Fort Pierce, FL 34950. The listed phone number is (772) 905-9030.

What is Takeisha Mitchell-ingram's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Takeisha Mitchell-ingram was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.