Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry Mitchell, MACAADCSPADA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649779927

Larry Mitchell, MACAADCSPADA is an Addiction (Substance Use Disorder) Counselor in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

1960 Millbrook St SE
Grand Rapids, MI 49508-2636
Phone: (616) 633-3700
Fax: (616) 930-4640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence C-00112 (MI)

Record details

NPI number1649779927
Entity typeIndividual (Type 1)
GenderMale
Credentials MACAADCSPADA
Sole proprietorYes
NPI enumeratedFebruary 1, 2018
Last updated in NPPESFebruary 1, 2018
Mailing address1960 Millbrook St Se, Grand Rapids, MI 49508-2636

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