Healthcare Provider Details

I. General information

NPI: 1083540009
Provider Name (Legal Business Name): KAREN STAFFORD-MAY, LPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 N MAIN ST STE A
ADRIAN MI
49221-2786
US

IV. Provider business mailing address

2175 OAKWOOD AVE
ADRIAN MI
49221-9627
US

V. Phone/Fax

Practice location:
  • Phone: 517-270-0069
  • Fax:
Mailing address:
  • Phone: 517-270-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CECILIA E SHARP
Title or Position: MEDICAL BILLER
Credential:
Phone: 517-920-4602