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EDDIE MOTTLEY CADC
NPI 1265958102
Counselor - Addiction (Substance Use Disorder) in Benton Harbor, MI

Active since August 22, 2017
1485 M 139, BENTON HARBOR, MI 49022(269) 925-0585(269) 927-1326 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017 (2 updates tracked since 2017).

About Eddie Mottley Cadc NPPES

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

EDDIE MOTTLEY CADC (NPI 1265958102) is an individual addiction (substance use disorder) provider in Benton Harbor, Michigan and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1265958102
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDDIE MOTTLEYCredential: CADC
Location Address1485 M 139Benton Harbor, MI 49022-5711
Mailing Address1485 M 139Benton Harbor, MI 49022-5711 · (269) 925-0585 · Fax (269) 927-1326
Phone(269) 925-0585
Fax(269) 927-1326
Sole ProprietorNo
Enumeration DateAugust 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265958102 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
1485 M 139, Benton Harbor, MI 49022
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Other Providers at the Same Location NPPES 20

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

JACQUELINE R BONARDI
Counselor (Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MS. AMBER KAY FERGISON
Social Worker (Clinical)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
SAMUEL SAINT-PHARD
Behavior Technician
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
APRIL K REYBUCK RN
Registered Nurse (Psychiatric/Mental Health)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 934-0119
SHANIYA HINES
Peer Specialist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 985-0585
THERESE ZITTA
Occupational Therapist
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585
MR. DAVID ANDREW LAWRENCE MSW
Social Worker
1485 M 139
BENTON HARBOR, MI 49022
Berrien County (269) 925-0585

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 Eddie Mottley's NPI number?

The NPI number for Eddie Mottley is 1265958102. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Eddie Mottley located?

Eddie Mottley practices at 1485 M 139, Benton Harbor, MI 49022. The listed phone number is (269) 925-0585.

What is Eddie Mottley'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 Eddie Mottley was last updated on July 21, 2022. 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.