OrganizationActive
Audrey Mitchell, LLC
NPI 1043859614 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Rapids, MI
Provider details
- NPI number
- 1043859614
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Authorized official
- Audrey Mitchell, Owner
Practice location
4070 Lake Drive Se
Suite 101
Grand Rapids, MI 49546-4954
Phone: (616) 426-9869
Mailing address
547 92nd St Se
Byron Center, MI 49315
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2019-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.