Individual provider · Type 1 NPI

Myshia Venise Liles-Moultrie, LLPC

Mental Health Counselor · East Lansing, MI

NPI number 1265143465 Active

Practice location

5030 Northwind Dr Ste 101
East Lansing, MI 48823-5034

Call (517) 333-1499 Map

Mailing address

4642 S Hagadorn Rd Apt E19
East Lansing, MI 48823-5326

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6451021996 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1265143465

Myshia Venise Liles-Moultrie, LLPC's National Provider Identifier is 1265143465, issued on Dec 8, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Lansing, MI. The record was last updated on Dec 8, 2022.