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Mr. Mancell Vontrell Lyttle, BS,CT
Counselor in Moraine, Ohio
NPI 1104416841

Mancell Vontrell Lyttle is a Counselor based in Moraine, OH. Mancell Vontrell Lyttle practices in Moraine, OH and has the professional credentials of BS,CT. The NPI Number for Mancell Vontrell Lyttle is 1104416841 and holds a License No. C.2204090-TRNE (Ohio).

The current practice location address for Mancell Vontrell Lyttle is 3095 Kettering Blvd, Moraine, OH and can be reached out via phone at 937-293-8300.

Location: 3095 Kettering Blvd, Moraine, OH, 45439-1983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104416841
Provider Name
Mancell Vontrell Lyttle
Credential
BS,CT
Provider Entity Type
Individual
Gender
Male
Address
3095 Kettering Blvd, Moraine, OH, 45439-1983
Phone Number
937-293-8300
Fax Number
Provider Enumeration Date
01/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2910854 05 OH
institution
Provider Business Practice Location Address Details
Address
3095 Kettering Blvd
City
Moraine
State
Ohio
Zip
45439-1983
Phone Number
937-293-8300
Fax Number
person
Provider Business Mailing Address Details
Address
3095 Kettering Blvd
City
Moraine
State
Ohio
Zip
45439-1983
Phone Number
937-293-8300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.2204090-TRNE (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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