Takara Dashelle Bolton-Montgomery, LPC
Counselor, Professional in Livonia, MI. Individual provider (NPI-1).
NPI number1245779891
StatusActive
Last updated in NPPESAug 12, 2026
Details
- NPI
- 1245779891
- Entity type
- Individual (NPI-1)
- Name
- Takara Dashelle Bolton-Montgomery
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 15, 2017
- Certification date
- Aug 12, 2026
- Last updated
- Aug 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6401225470 | MI | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
29550 Five Mile RdLivonia, MI 48154-3710
Phone 800-395-3223
Mailing address
26545 American DrSouthfield, MI 48034-6115
Phone 800-395-3223
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