Mizell, Tyana Lashun

Mizell, Tyana Lashun is an sole proprietor health care provider with primary practice located at 982 Forest Path , Stone Mtn GA 30088-2609. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Mizell, Tyana Lashun can be contacted via phone (770) 875-0721.

Contact Information

Primary practice address
982 Forest Path Stone Mtn GA 30088-2609
Phone: (770) 875-0721
Fax: (770) 676-5860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1285903559
LBN Legal business name Mizell, Tyana Lashun
Credentials BSW, MSCJ
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2011
Last updated Dec 15th, 2011 - about 15 years 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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