WICKS THERAPY NPI 1932677085

NPI Information

NPI: 1932677085
Provider Name: WICKS THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3304 CROYDEN AVE
KALAMAZOO, MI
ZIP 49006
Phone: (616) 805-4036
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WICKS THERAPY is a mental health counselor in Kalamazoo, MI. WICKS THERAPY NPI is 1932677085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3304 CROYDEN AVE
KALAMAZOO, MI
ZIP 49006-079
Phone: (616) 805-4036

The provider's authorized official is Tracey Lee Wicks .
The authorized official title is Counselor and has the following contact phone number (616) 805-4036.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 2/24/2021.

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: 4/28/2024

NPI Synchronization or Removal

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