ZIYAH ENAE DOCK LPC NPI 1164055885

NPI Information

NPI: 1164055885
Provider Name: ZIYAH ENAE DOCK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 831-2611
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Ziyah Enae Dock, LPC is a professional counselor in Grand Rapids, MI. Ziyah Enae Dock, LPC NPI is 1164055885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548-927
Phone: (616) 831-2611

The enumeration date for this NPI number is 2/20/2020 and was last updated on 2/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	6401006640	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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