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

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

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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.