Provider Demographics
NPI:1467327098
Name:MACLEOD, KALEY CHRISTINA (LLPC)
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:CHRISTINA
Last Name:MACLEOD
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 1:4576 W WALTON BLVD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-4905
Mailing Address - Country:US
Mailing Address - Phone:248-618-3920
Mailing Address - Fax:248-479-5599
Practice Address - Street 1:4576 W WALTON BLVD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-4905
Practice Address - Country:US
Practice Address - Phone:248-618-3920
Practice Address - Fax:248-497-5599
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health