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MR. MANCELL VONTRELL LYTTLE CDCA
NPI 1104416841
Counselor - Addiction (Substance Use Disorder) in Wilmington, OH

Active since January 26, 2021
815 S SOUTH ST, WILMINGTON, OH 45177(937) 910-6218(800) 480-7578 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Apr 6, 2022, Jan 26, 2021 (3 updates tracked since 2021).

About Mr. Mancell Vontrell Lyttle Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MANCELL VONTRELL LYTTLE CDCA (NPI 1104416841) is an individual addiction (substance use disorder) provider in Wilmington, Ohio, licensed in Ohio (CDCA.193768) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1104416841
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MANCELL VONTRELL LYTTLECredential: CDCA
Location Address815 S SOUTH STWilmington, OH 45177-2755
Mailing Address4120 Brookdale Ln Unit 5Dayton, OH 45440-3998 · (313) 687-9586
Phone(937) 910-6218
Fax(800) 480-7578
Sole ProprietorYes
Enumeration DateJanuary 26, 2021
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
✔ NPI 1104416841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.193768
815 S SOUTH ST, Wilmington, OH 45177
Open in Google Maps ↗

Other Identifiers 1

Medicaid2910854OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GINGER KAYE LOWELL CDCA
Counselor (Addiction (Substance Use Disorder))
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (937) 910-6218
ROGER WINEMILLER CPRS
Peer Specialist
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (937) 910-6218
MR. ZACHARY E RICHMOND CT, LCDC III
Student in an Organized Health Care Education/Training Program
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (855) 553-9355
VERONICA WALLS
Case Manager/Care Coordinator
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (937) 910-6218
CAITLIN CAMPBELL
Case Manager/Care Coordinator
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (866) 534-2639
JENNIFER HILL
Counselor (Addiction (Substance Use Disorder))
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (866) 534-2639
HEATHER DAVIS LCDC II
Counselor (Addiction (Substance Use Disorder))
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (937) 910-6218
KELLY ELY
Case Manager/Care Coordinator
815 S SOUTH ST
WILMINGTON, OH 45177
Clinton County (937) 910-6218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mancell Lyttle's NPI number?

The NPI number for Mancell Lyttle is 1104416841. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Mancell Lyttle located?

Mancell Lyttle practices at 815 S South St, Wilmington, OH 45177. The listed phone number is (937) 910-6218.

What is Mancell Lyttle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mancell Lyttle was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.