Provider Demographics
NPI:1578732251
Name:KING, VIOLA (LLPC)
Entity Type:Individual
Prefix:MS
First Name:VIOLA
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17117 W 9 MILE RD
Mailing Address - Street 2:STE 646
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4602
Mailing Address - Country:US
Mailing Address - Phone:248-423-1728
Mailing Address - Fax:248-423-1734
Practice Address - Street 1:17117 W 9 MILE RD
Practice Address - Street 2:STE 646
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4602
Practice Address - Country:US
Practice Address - Phone:248-423-1728
Practice Address - Fax:248-423-1734
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional