Tanis, Mallory

Tanis, Mallory is an sole proprietor health care provider with primary practice located at 189 W Clarkston Rd , Lake Orion MI 48362-2892. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tanis, Mallory can be contacted via phone (844) 642-9273.

Contact Information

Primary practice address
189 W Clarkston Rd Lake Orion MI 48362-2892
Phone: (844) 642-9273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401018504 Michigan

Profile Details

NPI number 1457958092
LBN Legal business name Tanis, Mallory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 5 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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