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NPI Code Detail

MEDICARE: ERIC MITCHELL

MEDICARE: ERIC MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.193188KY

General Provider Information

NPI Number : 1649124942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MITCHELL
Provider Business Mailing Address
First Line : 5563 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2225
Country : US
Telephone Number : 937-291-2300
Fax Number : 937-291-2303
Provider Business Practice Location Address
First Line : 5563 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2225
Country : US
Telephone Number : 937-291-2300
Fax Number : 937-291-2303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ ERIC MITCHELL ” Practice Location

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