Individual provider · Type 1 NPI
Carissa Stallsworth
Mental Health Counselor · Brodhead, KY
NPI number
1508595083
Active
Practice location
1246 Brindle Ridge Rd
Brodhead, KY 40409-8412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 294481 (KY) |
Mental Health Counselor: Definition to come...
3 other providers at this address
About NPI 1508595083
Carissa Stallsworth's National Provider Identifier is 1508595083, issued on Jun 9, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brodhead, KY. The record was last updated on Jul 22, 2026.