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WILLIE MCCULLOUGH
NPI 1104292127
Counselor - Mental Health in Oak Park, MI

Active since August 13, 2015
23751 COYLE ST, OAK PARK, MI 48237(248) 506-5891 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIE MCCULLOUGH (NPI 1104292127) is an individual mental health provider in Oak Park, Michigan, licensed in Michigan (261QA0600X) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1104292127
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWILLIE MCCULLOUGH
Location Address23751 COYLE STOak Park, MI 48237-1929
Mailing Address22590 Pembroke AveDetroit, MI 48219-1158 · (313) 574-7976
Phone(248) 506-5891
Sole ProprietorYes
Enumeration DateAugust 13, 2015
✔ NPI 1104292127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in MI · 261QA0600X✔ Licensed in MI · 6401013637
23751 COYLE ST, Oak Park, MI 48237
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Mccullough's NPI number?

The NPI number for Willie Mccullough is 1104292127. It was assigned to this individual provider in the NPPES registry on August 13, 2015.

Where is Willie Mccullough located?

Willie Mccullough practices at 23751 Coyle St, Oak Park, MI 48237. The listed phone number is (248) 506-5891.

What is Willie Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Willie Mccullough was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.