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WILSON AND WYNN INTERVENTIONS PLC NPI 1598810137


NPI Information

NPI: 1598810137
Provider Name: WILSON AND WYNN INTERVENTIONS, PLC
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
4519 CASCADE RD SE STE 6
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 647-3460
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WILSON AND WYNN INTERVENTIONS, PLC is an intellectual and developmental disabilities in Grand Rapids, MI. WILSON AND WYNN INTERVENTIONS, PLC NPI is 1598810137. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4519 CASCADE RD SE STE 6
GRAND RAPIDS, MI
ZIP 49546-319
Phone: (616) 647-3460

The provider's authorized official is Sandra Jean Wynn-stelt .
The authorized official title is Co-owner and has the following contact phone number (616) 647-3460.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 2/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health6301008405MICHIGANNo
2101YM0800XCounselorMental Health6301012332MICHIGANNo
3103TM1800XPsychologistIntellectual and Developmental Disabilities6301012332MICHIGANNo
41041C0700XSocial WorkerClinical6801083017MICHIGANNo
5103TM1800XPsychologistIntellectual and Developmental Disabilities6301008405MICHIGANYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.