IDENTITY COUNSELING PSYCHOLOGY WEST PLLC NPI 1720600695

NPI Information

NPI: 1720600695
Provider Name: IDENTITY COUNSELING PSYCHOLOGY WEST PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
635 S MAPLE RD STE 2
ANN ARBOR, MI
ZIP 48103
Phone: (734) 645-8944
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IDENTITY COUNSELING PSYCHOLOGY WEST PLLC is a mental health counselor in Ann Arbor, MI. IDENTITY COUNSELING PSYCHOLOGY WEST PLLC NPI is 1720600695. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

635 S MAPLE RD STE 2
ANN ARBOR, MI
ZIP 48103-838
Phone: (734) 645-8944

The provider's authorized official is Timothy Wilkins .
The authorized official title is Owner and has the following contact phone number (734) 545-0332.

The enumeration date for this NPI number is 5/13/2020 and was last updated on 5/13/2020.

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
1	101YM0800X	Counselor	Mental Health			Yes

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: 11/14/2023

NPI Synchronization or Removal

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