| Mr Mancell Vontrell Lyttle, CDCA | |
|
815 S South St, Wilmington, OH 45177-2755 | |
| (937) 910-6218 | |
| (800) 480-7578 |
| Full Name | Mr Mancell Vontrell Lyttle |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 815 S South St, Wilmington, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104416841 | NPI | - | NPPES |
| 2910854 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.193768 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mancell Vontrell Lyttle, CDCA 4120 Brookdale Ln Unit 5, Dayton, OH 45440-3998 Ph: (313) 687-9586 | Mr Mancell Vontrell Lyttle, CDCA 815 S South St, Wilmington, OH 45177-2755 Ph: (937) 910-6218 |
Miss Larissa E Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Randolph St, Wilmington, OH 45177 Phone: 937-481-5647 | |
Mrs. Darcy Mcelhaney Lichnerowicz, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 S South St, Wilmington, OH 45177 Phone: 937-383-4441 Fax: 937-383-2348 | |
Ms. Ginger Kaye Lowell, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Randolph St, Wilmington, OH 45177 Phone: 937-481-5645 | |
Caroline Curtis, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 S South St, Wilmington, OH 45177 Phone: 937-383-4441 Fax: 937-383-2916 | |
Meagan Allen Powers, PCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 S South St, Wilmington, OH 45177 Phone: 937-383-4441 Fax: 938-383-2348 | |
Tricia Lynn Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 S South St, Wilmington, OH 45177 Phone: 937-383-4441 | |
Melanie L Overbee, CT, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 953 S South St, Wilmington, OH 45177 Phone: 937-383-4441 Fax: 937-383-2916 |