Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tanya D Mizell, NCCLPCCCTP2ASDCS

Individual provider Professional Counselor · NPI 1306316724

Tanya D Mizell, NCCLPCCCTP2ASDCS is a Professional Counselor in Southgate, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and Ohio.

Licensed in
MI, OH
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (734) 324-8326
Fax: (734) 324-8327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401224388 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence C.2607971 (OH)
Counselor Taxonomy 101Y00000X · Licence 6401224388 (MI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 6401224388 (MI)

Record details

NPI number1306316724
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCCLPCCCTP2ASDCS
Sole proprietorYes
NPI enumeratedNovember 28, 2018
Last updated in NPPESMay 2, 2026
Certification dateMay 2, 2026

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