Organization
AUDREY MITCHELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY M MITCHELL LMSW (OWNER)
(616) 426-9869
Entity
Organization
Contact information
Practice address
4070 LAKE DRIVE SE, SUITE 101, GRAND RAPIDS, MI 49546-4954
(616) 426-9869
Mailing address
547 92ND ST SE, BYRON CENTER, MI 49315
(616) 426-9869
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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