Persha, Tina Marie

Persha, Tina Marie is an individual health care provider with primary practice located at 52188 Vandyke Ste 320, Shelby Twp MI 48316. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Persha, Tina Marie can be contacted via phone (286) 254-7774.

Contact Information

Primary practice address
52188 Vandyke Ste 320 Shelby Twp MI 48316
Phone: (286) 254-7774
Fax: (586) 254-7766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401000816 Michigan

Profile Details

NPI number 1225128499
LBN Legal business name Persha, Tina Marie
Credentials MA LPC CACII
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225128499 NPPES
Michigan Other 7969655 AETNA

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