Mingledoff, Lukisha

Mingledoff, Lukisha is an individual health care provider with primary practice located at 21751 Ecorse Rd , Taylor MI 48180-1846. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mingledoff, Lukisha can be contacted via phone (313) 406-4493.

Contact Information

Primary practice address
21751 Ecorse Rd Taylor MI 48180-1846
Phone: (313) 406-4493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401014065 Michigan

Profile Details

NPI number 1811311301
LBN Legal business name Mingledoff, Lukisha
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2014
Last updated Aug 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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