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Tanya D Mizell, MSLLPCCCTPASDI
Mental Health Counselor in Ecorse, Michigan
NPI 1306316724

Tanya D Mizell is a Mental Health Counselor based in Ecorse, MI and is specialized in Mental Health. Tanya D Mizell practices in Ecorse, MI and has the professional credentials of MSLLPCCCTPASDI. The NPI Number for Tanya D Mizell is 1306316724 and holds a License No. 6451017830 (Michigan).

The current practice location address for Tanya D Mizell is 3763 17Th St, Ecorse, MI and can be reached out via phone at 734-237-7199.

Location: 3763 17Th St, Ecorse, MI, 48229-1339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306316724
Provider Name
Tanya D Mizell
Credential
MSLLPCCCTPASDI
Provider Entity Type
Individual
Gender
Female
Address
3763 17Th St, Ecorse, MI, 48229-1339
Phone Number
734-237-7199
Fax Number
Provider Enumeration Date
11/28/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14898250 01 CAQH PROVIEW
7A7B6 01 CAGE/NCAGE
KLDNLGNS98C3 01 SAM UNIQUE ENTITY ID
institution
Provider Business Practice Location Address Details
Address
3763 17Th St
City
Ecorse
State
Michigan
Zip
48229-1339
Phone Number
734-237-7199
Fax Number
person
Provider Business Mailing Address Details
Address
3763 17Th St
City
Ecorse
State
Michigan
Zip
48229-1339
Phone Number
734-237-7199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
6451017830 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6451017830 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
6451017830 (Michigan)
Definition
Definition to come...
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