Search › Tennessee › 101YP2500X
Maciej Miciak, LPC/MHSP
NPI 1649923459 · on the registry since 2022 · sole proprietor
Practice
- Address
- 311 E Main St Ste 4
Hendersonville, TN 37075 - Phone
- (615) 815-0895
- Organisation at this address
- Mustafa Alwan Dds Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
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 Tennessee