Tanya D Mizell, MS LLPC CCTP ASDI | |
3763 17th St, Ecorse, MI 48229-1339 | |
(734) 237-7199 | |
Not Available |
Full Name | Tanya D Mizell |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3763 17th St, Ecorse, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306316724 | NPI | - | NPPES |
14898250 | Other | CAQH PROVIEW | |
7A7B6 | Other | CAGE/NCAGE | |
KLDNLGNS98C3 | Other | SAM UNIQUE ENTITY ID |
Mailing Address | Practice Location Address |
---|---|
Tanya D Mizell, MS LLPC CCTP ASDI 3763 17th St, Ecorse, MI 48229-1339 Ph: (734) 237-7199 | Tanya D Mizell, MS LLPC CCTP ASDI 3763 17th St, Ecorse, MI 48229-1339 Ph: (734) 237-7199 |
Mr. Charles E Wasson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 | |
Jesus Ontiveroz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4646 W Jefferson Ave, Ecorse, MI 48229 Phone: 313-622-9827 | |
Mr. Robert Christopher Miles, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 | |
Mrs. Rozalyn Marie Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 336 Salliotte Rd, Ecorse, MI 48229 Phone: 313-383-5500 |