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CHANNON MELLISA MITCHELL
NPI 1114696937
Counselor - Addiction (Substance Use Disorder) in Inglewood, CA

Active since September 07, 2021
145 N PRAIRIE AVE, INGLEWOOD, CA 90301(310) 912-9274(323) 545-3156 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Channon Mellisa Mitchell NPPES

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

CHANNON MELLISA MITCHELL (NPI 1114696937) is an individual addiction (substance use disorder) provider in Inglewood, California and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1114696937
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCHANNON MELLISA MITCHELL
Location Address145 N PRAIRIE AVEInglewood, CA 90301-1904
Mailing Address145 N Prairie AveInglewood, CA 90301-1904 · (310) 912-9274
Phone(310) 912-9274
Fax(323) 545-3156
Sole ProprietorYes
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1114696937 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
145 N PRAIRIE AVE, Inglewood, CA 90301
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Other Identifiers 1

Medicaid20202008CA

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 Channon Mitchell's NPI number?

The NPI number for Channon Mitchell is 1114696937. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Channon Mitchell located?

Channon Mitchell practices at 145 N Prairie Ave, Inglewood, CA 90301. The listed phone number is (310) 912-9274.

What is Channon Mitchell'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 Channon Mitchell was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.