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MS. TANYA DELORISE CLARK
NPI 1144575812
Counselor in Detroit, MI

Active since July 19, 2012
707 W MILWAUKEE ST, DETROIT, MI 48202(313) 344-9099 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, May 13, 2024, Mar 15, 2023 and 3 more (6 updates tracked since 2018).

About Ms. Tanya Delorise Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TANYA DELORISE CLARK (NPI 1144575812) is an individual counselor in Detroit, Michigan, licensed in Michigan (6451018990) and active in the NPI registry since July 2012. She maintains a secondary practice location in Taylor.

NPPES Registry Identity

NPI1144575812
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. TANYA DELORISE CLARK
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address119 Garfield St Apt 405Detroit, MI 48201-1988 · (813) 447-1935
Phone(313) 344-9099
Sole ProprietorYes
Enumeration DateJuly 19, 2012
Last NPPES UpdateAugust 21, 20246 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1144575812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6451018990
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's degree and clinical experience and supervision for licensure or certification.
707 W MILWAUKEE ST, Detroit, MI 48202
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Secondary Practice Location 1

Location 120300 Superior Rd Ste 250Taylor, MI 48180-6342 · Phone (734) 785-7000

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARYNTHIA STORY
Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MARK ELTON APPLETON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MELISSA MOODY
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 410-4992
MS. VICKY KAY POLITOWSKI LMSW
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (248) 217-2971
JEWEL IRLENE WALTON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
SAGE RINGSMUTH
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
DAWN MARIE BURCH MA, LLP
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
CRYSTAL LAVERA BURKES RN
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanya Clark's NPI number?

The NPI number for Tanya Clark is 1144575812. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Tanya Clark located?

Tanya Clark practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 344-9099.

What is Tanya Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tanya Clark was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.