OrganizationActive
Black Male Therapist LLC
NPI 1194317248 · Mental Health Clinic/Center (Including Community Mental Health Center) · Southfield, MI
Provider details
- NPI number
- 1194317248
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Steven Stuckey, Owner(248) 973-7177
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
21650 W 11 Mile Rd Ste 108
Southfield, MI 48076-3715
Phone: (248) 973-7177
Approximate (ZIP-level) locationGet directions
Mailing address
21650 W 11 Mile Rd Ste 108
Southfield, MI 48076-3715
Registry dates
- Enumerated
- 2021-02-10
- Last updated
- 2021-02-10
- Certified
- 2021-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.