Provider Demographics
NPI:1770833295
Name:CASE, WENDY ALYSON (LPC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:ALYSON
Last Name:CASE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:32406 FRANKLIN RD UNIT 250612
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48025-7023
Mailing Address - Country:US
Mailing Address - Phone:810-227-1211
Mailing Address - Fax:810-220-5509
Practice Address - Street 1:32841 MIDDLEBELT RD STE 407
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1771
Practice Address - Country:US
Practice Address - Phone:248-217-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013165101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional