Organization · Type 2 NPI
Audrey Mitchell, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Rapids, MI
NPI number
1043859614
Active
Practice location
4070 Lake Drive SE, Suite 101
Grand Rapids, MI 49546-4954
Mailing address
547 92nd St SE
Byron Center, MI 49315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1043859614
Audrey Mitchell, LLC's National Provider Identifier is 1043859614, issued on Dec 31, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 31, 2019.