Individual
LAINY MISTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
206 BARBERRY CT, MARYVILLE, TN 37804-4706
(504) 912-0197
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(865) 588-3173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7714
TN
101YP2500X
Professional Counselor
Primary
7714
TN
Other
Enumeration date
11/05/2019
Last updated
11/11/2025
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