Provider Demographics
NPI:1427882034
Name:MILL CREEK CONSULTING PLLC
Entity type:Organization
Organization Name:MILL CREEK CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:TASSIE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:734-219-9364
Mailing Address - Street 1:7050 DEXTER ANN ARBOR RD #1054
Mailing Address - Street 2:UNIT 300
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8659
Mailing Address - Country:US
Mailing Address - Phone:734-219-9364
Mailing Address - Fax:
Practice Address - Street 1:13033 JERUSALEM RD
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118
Practice Address - Country:US
Practice Address - Phone:734-219-9364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty