Individual
MYA PATRICE NDIAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24420 GRATIOT AVE, EASTPOINTE, MI 48021-3307
(313) 414-1945
(586) 944-2731
Mailing address
24420 GRATIOT AVE, EASTPOINTE, MI 48021-3307
(313) 414-1945
(586) 944-2731
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301015244
MI
103K00000X
Behavior Analyst
1-17-25043
MI
103TC0700X
Clinical Psychologist
6301015244
MI
171M00000X
Case Manager/Care Coordinator
6301015244
MI
Other
Enumeration date
09/18/2012
Last updated
04/03/2026
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