Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY TANIS
Active Sole ProprietorMALLORY TANIS is a Mental Health Counselor healthcare provider located in LAKE ORION, Michigan. NPI 1457958092 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LAKE ORION, MI
Registration Details
- NPI Number
- 1457958092
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2020 (5.6731644197338 yrs)
- Last Updated
- Oct 6, 2020
- License
-
6401018504 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
189 W CLARKSTON RDLAKE ORION, MI, 483622892Browse MI providers · Browse ZIP 48362
- Phone
- 8446429273
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LAKE ORION, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. PINA SANDRA NEWMAN | LLPC | 1053594325 |
| MARIAN FRANCES GILLIAN | M.A.L.L.P | 1952588402 |
| MS. ELIZABETH ANNE CHISHOLM | LPC | 1235456658 |
| MS. FRANCES T BERG | MA, LPC, NCC | 1467762898 |
| DIANA R CONKLIN | LLPC | 1720350432 |
| CHRISTINE HELM | R.N. | 1063835775 |
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.