Individual provider · Type 1 NPI

Kayla Close-Stallworth, MA, LLPC

Professional Counselor · Southfield, MI

NPI number 1548728215 Active · reactivated Dec 10, 2024

Practice location

29425 Northwestern Hwy Ste 210
Southfield, MI 48034-1000

Call (248) 327-7409 Map

Mailing address

25304 Shiawassee Cir Apt 205
Southfield, MI 48033-3852

Other practice locations

  • 24445 Northwestern Hwy Ste 220, Southfield, MI 48075-2437 · (248) 242-5545

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6451022781 (MI)
Professional Counselor Primary 101YP2500X6451022781 (MI)

Professional Counselor: Definition to come...

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About NPI 1548728215

Kayla Close-Stallworth, MA, LLPC's National Provider Identifier is 1548728215, issued on Mar 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southfield, MI. The record was last updated on Dec 10, 2024.