Tayana La'toya Holland, | |
3815 W Saint Joseph St Ste A101, Lansing, MI 48917-3665 | |
(517) 321-5900 | |
(517) 321-5945 |
Full Name | Tayana La'toya Holland |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 3815 W Saint Joseph St Ste A101, Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538779806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401018414 (Michigan) | Primary |
Entity Name | Sacred Spaces Of Hope Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326819962 PECOS PAC ID: 1850736802 Enrollment ID: O20240229000741 |
Mailing Address | Practice Location Address |
---|---|
Tayana La'toya Holland, 3991 Mountain Glade Dr, Holt, MI 48842-7728 Ph: (810) 624-7892 | Tayana La'toya Holland, 3815 W Saint Joseph St Ste A101, Lansing, MI 48917-3665 Ph: (517) 321-5900 |
Rebecca Fitton, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Elmshaven Dr, Lansing, MI 48917 Phone: 802-922-3848 | |
Stephanie Gogarn, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Delbrook Ave, Lansing, MI 48910 Phone: 517-410-0843 | |
Tricia Diann Daniels, CLINICAL SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 N Mlk Blvd, Lansing, MI 48915 Phone: 517-887-0226 Fax: 517-887-8121 | |
Madison Boyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 N High St, Lansing, MI 48906 Phone: 517-372-4700 | |
Lauren C Radke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E Jolly Rd, Ste 216, Lansing, MI 48910 Phone: 517-346-9579 Fax: 517-346-8291 | |
Rebecca Lynn Brown, BA, DP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3410 Old Lansing Rd, Lansing, MI 48917 Phone: 517-657-2980 Fax: 517-993-5982 | |
Mr. Mark Anthony Denning Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 4814 Tressa Dr, Lansing, MI 48910 Phone: 517-862-4693 |