Individual provider · Type 1 NPI

Taneisha Mackey, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Warren, MI

NPI number 1750153763 Active

Practice location

12200 E 13 Mile Rd # 200
Warren, MI 48093-3093

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2023037250 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1750153763

Taneisha Mackey, PMHNP-BC's National Provider Identifier is 1750153763, issued on Oct 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Warren, MI. The record was last updated on Aug 25, 2026.