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General NPI Number Information
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NPI Number | 1104416841
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Entity Type | Individual
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Provider Name | MANCELL VONTRELL LYTTLE CDCA
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Gender | Male
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 815 S SOUTH ST
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City | WILMINGTON
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State | OH
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Zip | 45177-2755
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Country | US
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Telephone | 937-910-6218
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Fax | 800-480-7578
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Provider Business Mailing Address
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Address Line | 4120 BROOKDALE LN UNIT 5
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City | DAYTON
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State | OH
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Zip | 45440-3998
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Country | US
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Telephone | 313-687-9586
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDCA.193768
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License Number State | OH
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