Individual
TAISA TATIANA CARVALHO MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
205 E 7TH ST STE D, HAYS, KS 67601-4168
(254) 716-6569
Mailing address
PO BOX 133, HAYS, KS 67601-0133
(254) 716-6569
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LMLP03265
KS
Other
Enumeration date
10/09/2023
Last updated
07/13/2026
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