IndividualActive
Colleen Tavor, MA, LPC, NCC, CCTP
NPI 1235540337 · Mental Health Counselor · Southfield, MI
Provider details
- NPI number
- 1235540337
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC, NCC, CCTP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6401010162 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17344 W 12 Mile Rd
Suite 203
Southfield, MI 48076-2121
Phone: (248) 302-9396
Street-level locationGet directions
Mailing address
32718 Grand River Ave Unit C5
Farmington, MI 48336-3155
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2016-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.