Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dannie Stallworth, LPC-IT

Individual provider Mental Health Counselor · NPI 1710714712

Dannie Stallworth, LPC-IT is a Mental Health Counselor in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

4025 N 92nd St
Wauwatosa, WI 53222-1613
Phone: (414) 435-1115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8079 (WI)

Record details

NPI number1710714712
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

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