What is Reggie Mitchell's NPI number?

The NPI number assigned to this healthcare provider is 1669695862, enumerated as a individual on April 10, 2007.

Where is the provider located?

The provider is located at 15519 CRENSHAW BLVD GARDENA, CA 90249 and the phone number is (310) 679-9031.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

REGGIE MITCHELL CADC 2-CA - NPI 1669695862

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About Reggie Mitchell Cadc 2-ca NPPES

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

REGGIE MITCHELL CADC 2-CA (NPI 1669695862) is an individual addiction (substance use disorder) provider in Gardena, California, licensed in California (AII3551214) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1669695862

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameREGGIE MITCHELLCredential: CADC 2-CA

Location Address15519 CRENSHAW BLVDGardena, CA 90249-4525

Mailing Address202 W. 71st StreetLos Angeles, CA 90003 · (323) 283-5805

Phone(310) 679-9031

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateDecember 18, 2019

✔ NPI 1669695862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in CA · AII3551214

Also ListedRehabilitation CounselorTaxonomy 225C00000X

15519 CRENSHAW BLVD, Gardena, CA 90249

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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.

BEHAVIORAL HEALTH SERVICES, INC.

Community/Behavioral Health