Individual provider · Type 1 NPI
Althea M. Kyles, MA, LBSW, LLPC, QMHP
Professional Counselor · Detroit, MI
NPI number
1992149595
Active
Practice location
9254 Trinity St
Detroit, MI 48228-1633
Other practice locations
- 279 Summit Dr, Waterford, MI 48328-3364 · (248) 409-4207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6802084173 (MI) |
| Social Worker | 104100000X | 6802084173 (MI) |
| Case Manager/Care Coordinator | 171M00000X | 6401009679 (MI) |
| Professional Counselor Primary | 101YP2500X | 6401009679 (MI) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1992149595
Althea M. Kyles, MA, LBSW, LLPC, QMHP's National Provider Identifier is 1992149595, issued on Apr 25, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Detroit, MI. The record was last updated on Jul 25, 2019.