Individual provider · Type 1 NPI

Takara Dashelle Bolton-Montgomery, LPC

Professional Counselor · Livonia, MI

NPI number 1245779891 Active

Practice location

29550 Five Mile Rd
Livonia, MI 48154-3710

Call (800) 395-3223 Map

Mailing address

26545 American Dr
Southfield, MI 48034-6115

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401225470 (MI)
Case Manager/Care Coordinator 171M00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1245779891

Takara Dashelle Bolton-Montgomery, LPC's National Provider Identifier is 1245779891, issued on Feb 15, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Livonia, MI. The record was last updated on Aug 12, 2026.