COLLEEN MARIE TAVOR MA, LPC, NCC, CCTP
NPI 1235540337
Counselor - Mental Health in Southfield, MI

Active since May 12, 2014
17344 W 12 MILE RD, SUITE 203, SOUTHFIELD, MI 48076(248) 302-9396 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen Marie Tavor Ma, Lpc, Ncc, Cctp NPPES

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

COLLEEN MARIE TAVOR MA, LPC, NCC, CCTP (NPI 1235540337) is an individual mental health provider in Southfield, Michigan, licensed in Michigan (6401010162) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1235540337
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLLEEN MARIE TAVORCredential: MA, LPC, NCC, CCTP
Location Address17344 W 12 MILE RD, SUITE 203Southfield, MI 48076-2121
Mailing Address32718 Grand River Ave Unit C5Farmington, MI 48336-3155 · (248) 302-9396
Sole ProprietorYes
Enumeration DateMay 12, 2014
Last NPPES UpdateJanuary 4, 2016
NPI 1235540337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401010162
Also ListedCounselorTaxonomy 101Y00000X · License 6401010162 (MI)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401010162 (MI)
17344 W 12 MILE RD, Southfield, MI 48076

Other Providers at the Same Location NPPES 5

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

Community/Behavioral Health
17344 W 12 MILE RD, SUITE 104
SOUTHFIELD, MI 48076
Durable Medical Equipment & Medical Supplies
17344 W 12 MILE RD, SUITE 105
SOUTHFIELD, MI 48076
Community/Behavioral Health
17344 W 12 MILE RD, SUITE 202
SOUTHFIELD, MI 48076
Home Health
17344 W 12 MILE RD, SUITE-105
SOUTHFIELD, MI 48076
General Practice
17344 W 12 MILE RD, SUITE #203B
SOUTHFIELD, MI 48076

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 Colleen Tavor's NPI number?

The NPI number for Colleen Tavor is 1235540337. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Colleen Tavor located?

Colleen Tavor practices at 17344 W 12 Mile Rd Suite 203, Southfield, MI 48076. The listed phone number is (248) 302-9396.

What is Colleen Tavor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Colleen Tavor was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.