Individual provider · Type 1 NPI

Tanya D. Mizell, NCC LPC CCTP2 ASDCS

Professional Counselor · Southgate, MI

NPI number 1306316724 Active

Practice location

14799 Dix Toledo Rd
Southgate, MI 48195-2507

Call (734) 324-8326 Map

Fax (734) 324-8327

Mailing address

3763 17th St
Ecorse, MI 48229-1339

Other practice locations

  • 3763 17th St, Ecorse, MI 48229-1339 · (734) 237-7199

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401224388 (MI)
Professional Counselor 101YP2500XC.2607971 (OH)
Counselor 101Y00000X6401224388 (MI)
Mental Health Counselor 101YM0800X6401224388 (MI)

Professional Counselor: Definition to come...

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About NPI 1306316724

Tanya D. Mizell, NCC LPC CCTP2 ASDCS's National Provider Identifier is 1306316724, issued on Nov 28, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southgate, MI. The record was last updated on May 2, 2026.