MALLORY TANIS NPI 1457958092

NPI Information

NPI: 1457958092
Provider Name: MALLORY TANIS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
189 W CLARKSTON RD
LAKE ORION, MI
ZIP 48362
Phone: (844) 642-9273
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Mallory Tanis is a mental health counselor in Lake Orion, MI. Mallory Tanis NPI is 1457958092. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

189 W CLARKSTON RD
LAKE ORION, MI
ZIP 48362-892
Phone: (844) 642-9273

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.

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	101YM0800X	Counselor	Mental Health	6401018504	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: 4/28/2024

NPI Synchronization or Removal

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