Unwavering Support Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

UNWAVERING SUPPORT SERVICES, INC.

Doing business as

Jordan T. Mizell
Melven C. Conway
Tanya D. Mizell

Practice address

3763 17TH St
Ecorse, MI 48229-1339

Phone

(734) 237-7199

NPI assigned

Mar 8, 2024

Last updated

Jun 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanya D Mizell, NCC, LPC, CCTP, ASDINPI 1306316724

Title

Licensed Professional Counselor/Ceo

Phone

(734) 237-7199

Specialties & licenses 1

Addresses

Other names 3

• Jordan T. Mizell Doing business as
• Melven C. Conway Doing business as
• Tanya D. Mizell Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya D Mizell, NCC LPC CCTP2 ASDCS

  • Professional Counselor
  • Southgate, MI
  • NPI 1306316724
  Authorized official Same address or phone

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717891200000",
    "number": "1861250490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3763 17TH ST",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291339",
            "telephone_number": "734-237-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3763 17TH ST",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "482291339",
            "telephone_number": "734-237-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNWAVERING SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-06-09",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/CEO",
        "authorized_official_telephone_number": "734-237-7199",
        "authorized_official_credential": "NCC, LPC, CCTP, ASDI"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "google.drive",
            "affiliation": "N",
            "endpointDescription": "google.drive",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3763 17th St",
            "city": "Ecorse",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482291339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jordan T. Mizell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melven C. Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanya D. Mizell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tanya D. Mizell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Ecorse, MI
• Providers in Ecorse, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2024; 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.