Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA D MIZELL, NCC LPC CCTP ASDI
Active Sole ProprietorTANYA D MIZELL, NCC LPC CCTP ASDI is a Professional Counselor healthcare provider located in ECORSE, Michigan. NPI 1306316724 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ECORSE, MI
Registration Details
- NPI Number
- 1306316724
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2018 (7.6951984317205 yrs)
- Last Updated
- Jun 29, 2024
- Licenses
-
6401224388 (MI)6401224388 (MI)6401224388 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3763 17TH STECORSE, MI, 482291339Browse MI providers · Browse ZIP 48229
- Phone
- 7342377199
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.