# TIANA MAKAIWA PARK LOUIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508176769
- **Gender:** F
- **Credential:** LCADC, CPC-INTERN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 127859346004 | UT | Yes |
| 101YP2500X | Professional Counselor | 0022392 | CO | — |
| 101YP2500X | Professional Counselor | CI0047 | NV | — |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 08/06/2025