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EDWARD MITCHELL
NPI 1164834453
Community/Behavioral Health in Racine, WI

Active since May 21, 2014
2405 NORTHWESTERN AVE # LL15, RACINE, WI 53404(262) 260-8370(262) 260-8358 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Mitchell NPPES

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

EDWARD MITCHELL (NPI 1164834453) is an individual community/behavioral health provider in Racine, Wisconsin, licensed in Wisconsin (15732-131) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1164834453
Entity TypeIndividualMale
Primary Taxonomy251S00000X
Provider Legal NameEDWARD MITCHELL
Location Address2405 NORTHWESTERN AVE # LL15Racine, WI 53404-2534
Mailing Address2405 Northwestern Ave # Ll15Racine, WI 53404-2534 · (262) 260-8370 · Fax (262) 260-8358
Phone(262) 260-8370
Fax(262) 260-8358
Sole ProprietorYes
Enumeration DateMay 21, 2014
✔ NPI 1164834453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in WI · 15732-131
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2405 NORTHWESTERN AVE # LL15, Racine, WI 53404
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Other Providers at the Same Location NPPES

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

MR. CORIE HARGROVE CADC-III
Counselor (Addiction (Substance Use Disorder))
2405 NORTHWESTERN AVE # LL15
RACINE, WI 53404
Racine County (262) 260-8370

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 Edward Mitchell's NPI number?

The NPI number for Edward Mitchell is 1164834453. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Edward Mitchell located?

Edward Mitchell practices at 2405 Northwestern Ave # Ll15, Racine, WI 53404. The listed phone number is (262) 260-8370.

What is Edward Mitchell's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Edward Mitchell was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.