BLACK MALE THERAPIST LLC
NPI 1194317248
Clinic/Center - Mental Health (Including Community Mental Health Center) in Southfield, MI

Active since February 10, 2021
21650 W 11 MILE RD STE 108, SOUTHFIELD, MI 48076(248) 973-7177 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black Male Therapist Llc NPPES

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

BLACK MALE THERAPIST LLC (NPI 1194317248) is a healthcare organization registered as a mental health (including community mental health center) in Southfield, Michigan and active in the NPI registry since February 2021. The organization lists Steven D Stuckey, Owner, as its authorized official.

NPPES Registry Identity

NPI1194317248
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLACK MALE THERAPIST LLC
Location Address21650 W 11 MILE RD STE 108Southfield, MI 48076-3715
Mailing Address21650 W 11 Mile Rd Ste 108Southfield, MI 48076-3715 · (248) 973-7177
Organization SubpartNo
Authorized OfficialSteven D StuckeyOwner · (248) 973-7177
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1194317248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
21650 W 11 MILE RD STE 108, Southfield, MI 48076

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
21650 W 11 MILE RD STE 108
SOUTHFIELD, MI 48076
Psychologist (Clinical)
21650 W 11 MILE RD STE 108
SOUTHFIELD, MI 48076

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 Black Male Therapist LLC's NPI number?

The NPI number for Black Male Therapist LLC is 1194317248. It was assigned to this organization in the NPPES registry on February 10, 2021.

Where is Black Male Therapist LLC located?

Black Male Therapist LLC is located at 21650 W 11 Mile Rd Ste 108, Southfield, MI 48076. The listed phone number is (248) 973-7177.

What is Black Male Therapist LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

What insurance does Black Male Therapist LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Black Male Therapist LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Black Male Therapist LLC was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.