Individual provider · Type 1 NPI

Lakeisha M. Blackwell, M.A.

Mental Health Counselor · Southgate, MI

NPI number 1194149179 Active

Practice location

13101 Allen Rd
Southgate, MI 48195-2216

Fax (734) 287-1953

Mailing address

2900 Conner
Detroit, MI 48215

Other practice locations

  • 12800 E Warren Ave, Detroit, MI 48215 · (313) 824-8000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194149179

Lakeisha M. Blackwell, M.A.'s National Provider Identifier is 1194149179, issued on Feb 11, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Jun 28, 2022.