Provider Demographics
NPI:1326442633
Name:MICHALSKI, WENDY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:MICHALSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:8205 MAIN STREET
Mailing Address - Street 2:STE. 10
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6054
Mailing Address - Country:US
Mailing Address - Phone:716-539-0789
Mailing Address - Fax:716-250-9090
Practice Address - Street 1:8643 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-1720
Practice Address - Country:US
Practice Address - Phone:716-565-9030
Practice Address - Fax:716-565-9038
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP91890101YM0800X
NY009440101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02249154Medicaid