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LARRY MITCHELL MA CAADC SPADA
NPI 1649779927
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since February 01, 2018
1960 MILLBROOK ST SE, GRAND RAPIDS, MI 49508(616) 633-3700(616) 930-4640 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Mitchell Ma Caadc Spada NPPES

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

LARRY MITCHELL MA CAADC SPADA (NPI 1649779927) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan, licensed in Michigan (C-00112) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1649779927
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY MITCHELLCredential: MA CAADC SPADA
Location Address1960 MILLBROOK ST SEGrand Rapids, MI 49508-2636
Mailing Address1960 Millbrook St SeGrand Rapids, MI 49508-2636 · (616) 633-3700 · Fax (616) 930-4640
Phone(616) 633-3700
Fax(616) 930-4640
Sole ProprietorYes
Enumeration DateFebruary 1, 2018
✔ NPI 1649779927 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 MI · C-00112
1960 MILLBROOK ST SE, Grand Rapids, MI 49508
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Other Names 1

Professional Name (2)Larry Mitchell Ma. Caadc Spada

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LLC BEHAVIOR SERVICES
Counselor (Addiction (Substance Use Disorder))
1960 MILLBROOK ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 633-3700
HARD PHILOSOPHER MINISTRIES
Counselor (Addiction (Substance Use Disorder))
1960 MILLBROOK ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 633-3700
LLC BEHAVIOR SERVICES
Counselor (Addiction (Substance Use Disorder))
1960 MILLBROOK ST SE
GRAND RAPIDS, MI 49508
Kent County (616) 633-3700

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 Larry Mitchell's NPI number?

The NPI number for Larry Mitchell is 1649779927. It was assigned to this individual provider in the NPPES registry on February 1, 2018. The provider is also known as Larry Mitchell Ma. Caadc Spada.

Where is Larry Mitchell located?

Larry Mitchell practices at 1960 Millbrook St SE, Grand Rapids, MI 49508. The listed phone number is (616) 633-3700.

What is Larry 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 Larry Mitchell was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.