Doctor Name: | MS. TINA MARIE PERSHA |
NPI Number: | 1225128499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC CACII |
License Number: | 6401000816 |
Business Practice Address: | 52188 Vandyke Ste 320 Shelby Twp, MI - 48316 |
Business Phone Number: | 2862547774 |
Business Fax Number: | 5862547766 |
Mailing Address: | 52188 Vandyke, Ste 320 SHELBY TWP |
State: | MI |
Postal Code: | 48316 |
Phone Number: | 2862547774 |
Fax Number: | 5862547766 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401000816 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |