Mallory Tanis

NPI 1457958092 · on the registry since 2020 · sole proprietor

Practice

Address: 189 W Clarkston Rd
Lake Orion, MI 48362
Phone: (844) 642-9273
Organisation at this address: Mi Awareness Pllc
Faith Centered Counseling, Llc
Holistic Psychology Services Llc
Blu Iris Therapeutic Services,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan