Provider Demographics
NPI:1093973976
Name:WILCH, WENDI (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDI
Middle Name:
Last Name:WILCH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:WENDI
Other - Middle Name:
Other - Last Name:LAPINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:136 S ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-6541
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:136 S ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-6541
Practice Address - Country:US
Practice Address - Phone:208-649-4797
Practice Address - Fax:208-600-0857
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID101YM0800X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health