Provider Demographics
NPI:1386166767
Name:EPPERSON, TOYAH (BA)
Entity type:Individual
Prefix:
First Name:TOYAH
Middle Name:
Last Name:EPPERSON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:TOYAH
Other - Middle Name:
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8212 N JENNINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-8248
Mailing Address - Country:US
Mailing Address - Phone:810-687-5100
Mailing Address - Fax:810-687-0520
Practice Address - Street 1:8212 N JENNINGS RD
Practice Address - Street 2:
Practice Address - City:MT. MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458
Practice Address - Country:US
Practice Address - Phone:810-687-5100
Practice Address - Fax:810-687-0520
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)