Provider Demographics
NPI:1407506553
Name:WANDER MORE COUNSELING LLC
Entity Type:Organization
Organization Name:WANDER MORE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:SAJDAK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:734-626-6113
Mailing Address - Street 1:2535 E MOUNT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1913
Mailing Address - Country:US
Mailing Address - Phone:734-626-6113
Mailing Address - Fax:
Practice Address - Street 1:2535 E MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1913
Practice Address - Country:US
Practice Address - Phone:734-626-6113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health