MISS ANTOINETTE MALLETT (NPI# 1679953491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679953491 |
| Entity Type | Individual |
| Full Name | MISS ANTOINETTE MALLETT |
| Credential | LPC |
| Practice Address |
4710 W Saginaw Hwy Ste 1 Lansing MI 48917-2654 |
| Mailing Address |
Po Box 10 Mason MI 48854-0010 |
| Practice Telephone | 5175744197 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 6401014164 | MI | Behavioral Health & Social Service Providers |
| Street Address |
4710 W SAGINAW HWY STE 1 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164760682 | Terri Jefferson | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2013-01-17 |
| 1154946168 | Tymathie Douglas | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2020-06-15 |
| 1780223248 | John Lewis Mcadoo | Social Worker | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2020-01-02 |
| 1427619758 | Fountain of Wisdom and Hope LLC | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2019-06-26 |
| 1669038816 | A New Day Counseling, Consulting, and Community Services LLC | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2019-05-14 |
| 1457725244 | Charles Brad Rose | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2015-11-17 |
| 1720329352 | Trina Rios | Counselor | 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566757 | Ezekiel Moreno | Counselor | 1412 Bentwood Dr, Lansing, MI 48917-2035 | 2020-04-06 |
| 1225503576 | Danielle Greve | Counselor | 5904 Cabrena Dr, Lansing, MI 48917-1263 | 2018-10-12 |
| 1073029880 | Re-inventing Yourself Counsultation LLC | Counselor | 913 W Holmes Rd Ste 178a, Lansing, MI 48910-0434 | 2017-12-18 |
| 1003270133 | Stephanie Gogarn | Counselor | 5010 Delbrook Ave, Lansing, MI 48910-5386 | 2016-04-05 |
| 1659747632 | Darryl Steele | Counselor | 838 Edgemont Blvd Apt 5, Lansing, MI 48917-2227 | 2015-08-13 |
| 1407236284 | Marianne Oren | Counselor | 2200 Boston Blvd, Lansing, MI 48910-2460 | 2015-06-05 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1982004800 | Ajaunta Turner | Counselor | 3419 Davidson Dr, Lansing, MI 48910-4487 | 2014-08-28 |
| 1508273202 | Julia Dawson | Counselor | 913 W Holmes Rd Ste 135, Lansing, MI 48910-0436 | 2014-07-15 |
| 1235561242 | Kathryn Ann Stephens | Counselor | 2580 Eaton Rapids Rd, Lansing, MI 48911-6307 | 2013-07-31 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.