Samuel Mitton
Samuel Mitton is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2021, 5 years ago. Practices with Heather D Perez LPC PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 5
- Licensed in
- TX
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2853 Crockett St Apt 307Fort Worth, TX 76107-2993
Phone: (940) 367-1471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 88003 (TX) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1598259558 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 21, 2018 |
| Last updated in NPPES | August 7, 2023 |
| Certification date | August 7, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Heather D Perez Lpc Pllc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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