Myshia Venise Liles-Moultrie, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451021996 Issued in MI

Practice address

5030 Northwind Dr Ste 101
East Lansing, MI 48823-5034

Phone

(517) 333-1499

NPI assigned

Dec 8, 2022

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1265143465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 S HAGADORN RD APT E19",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235326",
            "telephone_number": "989-522-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 NORTHWIND DR STE 101",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235034",
            "telephone_number": "517-333-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES-MOULTRIE",
        "first_name": "MYSHIA",
        "middle_name": "VENISE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451021996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam a Faulkner LMSW, LCC
• Hassan Liaqat, MD
• Richard Paul Lieske, MA, MDIV, LPC
• Emily K Lietz Vliek, LMSW
• Life and Wellness
• Thomas Patrick Lilley, OTR/L
• Michael J Lim, MD
• Limonoff Chiropractic Clinics Inc. (East Lansing Chiropractic Clinic)
• Jeffrey Harold Limonoff, D.C.
• Deborah Elizabeth Lincoln, RACP

• Mental Health Counselor in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.