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

Mr. Mancell Vontrell Lyttle, CDCA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104416841

Mr. Mancell Vontrell Lyttle, CDCA is an Addiction (Substance Use Disorder) Counselor in Wilmington, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

815 S South St
Wilmington, OH 45177-2755
Phone: (937) 910-6218
Fax: (800) 480-7578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.193768 (OH)

Record details

NPI number1104416841
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedJanuary 26, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address4120 Brookdale Ln Unit 5, Dayton, OH 45440-3998

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