Mizell, Tanya D

Mizell, Tanya D is an sole proprietor health care provider with primary practice located at 14799 Dix Toledo Rd , Southgate MI 48195-2507. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mizell, Tanya D can be contacted via phone (734) 324-8326.

Contact Information

Primary practice address
14799 Dix Toledo Rd Southgate MI 48195-2507
Phone: (734) 324-8326
Fax: (734) 324-8327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401224388 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X C.2607971 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401224388 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401224388 Michigan

Profile Details

NPI number 1306316724
LBN Legal business name Mizell, Tanya D
Credentials NCC LPC CCTP2 ASDCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2018
Last updated May 2nd, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306316724 NPPES
Other 1732823 NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)
Other 7A7B6 NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)
Other KLDNLGNS98C3 NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)
Other 14898250 NATIONAL BOARD FOR CERTIFIED COUNSELORS (NBCC)

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