LORI WILDER LLC NPI 1003366238

NPI Information

  • NPI: 1003366238
  • Provider Name: LORI WILDER LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Doing Business As: WILDER COUNSELING SERVICES
  • Address: 41 WASHINGTON AVE STE 384
    GRAND HAVEN, MI
    ZIP 49417
  • Phone: (616) 402-4262

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NPI Details

LORI WILDER LLC is a professional counselor in Grand Haven, MI. LORI WILDER LLC NPI is 1003366238. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wilder Counseling Services.

The provider's business location address is:

41 WASHINGTON AVE STE 384
GRAND HAVEN, MI
ZIP 49417-311
Phone: (616) 402-4262
Fax: (616) 984-4603

The provider's authorized official is Lori Wilder .
The authorized official title is Owner and has the following contact phone number (616) 402-4262.

The enumeration date for this NPI number is 10/12/2016 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401014275MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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