Individual provider · Type 1 NPI

Lukisha Mingledoff, LLPC

Professional Counselor · Taylor, MI

NPI number 1811311301 Active

Practice location

21751 Ecorse Rd
Taylor, MI 48180-1846

Mailing address

13101 Allen Rd
Southgate, MI 48195-2216

Other practice locations

  • 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 · (248) 436-4476

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Professional Counselor Primary 101YP2500X6401014065 (MI)

Professional Counselor: Definition to come...

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About NPI 1811311301

Lukisha Mingledoff, LLPC's National Provider Identifier is 1811311301, issued on Feb 5, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Taylor, MI. The record was last updated on Aug 29, 2019.