Individual
STEPHANIE KEATHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
(734) 324-8327
Mailing address
25170 SUPERIOR RD, TAYLOR, MI 48180-4517
(313) 929-4747
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014756
MI
Other
Enumeration date
05/12/2015
Last updated
12/29/2025
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