Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARISSA STALLSWORTH
ActiveCARISSA STALLSWORTH is a Mental Health Counselor healthcare provider located in BRODHEAD, Kentucky. NPI 1508595083 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BRODHEAD, KY
Registration Details
- NPI Number
- 1508595083
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2022 (3.9951522029083 yrs)
- Last Updated
- Feb 24, 2025
- License
-
294481 (KY)
Practice Information
- Address
-
1246 BRINDLE RIDGE RDBRODHEAD, KY, 404098412Browse KY providers · Browse ZIP 40409
- Phone
- 8592306734
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.