Provider Demographics
NPI:1134514102
Name:COY, WENDILYN ALMA (MA, LLPC, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:WENDILYN
Middle Name:ALMA
Last Name:COY
Suffix:
Gender:F
Credentials:MA, LLPC, CAADC
Other - Prefix:MS
Other - First Name:WENDILYN
Other - Middle Name:ALMA
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 W MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-5184
Mailing Address - Country:US
Mailing Address - Phone:989-631-0241
Mailing Address - Fax:989-631-0242
Practice Address - Street 1:220 W MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5184
Practice Address - Country:US
Practice Address - Phone:989-631-0241
Practice Address - Fax:989-631-0242
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014569101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)