Audrey Mitchell, LLC
Audrey Mitchell, LLC is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Grand Rapids, MI, holding Type 2 (organization) NPI 1043859614 since 2019. The authorized official on file is Audrey Mitchell, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043859614 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Audrey Mitchell, LLC |
| Practice address | 4070 LAKE DRIVE SE, SUITE 101, Grand Rapids, MI, 49546 |
| Phone | 6164269869 |
| Enumeration date | 2019-12-31 |
| Last updated in NPPES | 2019-12-31 |
Authorized official
| Name | Audrey Mitchell |
|---|---|
| Title | Owner |
| Phone | 6164269869 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Audrey Mitchell, LLC NPI: 1043859614 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 4070 LAKE DRIVE SE, SUITE 101, Grand Rapids, MI, 49546
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285756148 | Andrea Van Pelt | Individual | Plastic and Reconstructive Surgery Physician | Grand Rapids, MI |
Verify this record
Cross-check NPI 1043859614 against the authoritative CMS record: view Audrey Mitchell, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Audrey Mitchell, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-31.