Provider Demographics
NPI:1922589381
Name:WIERDA, ABBEY MARIE (MA, LPC, LLMFT)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:MARIE
Last Name:WIERDA
Suffix:
Gender:F
Credentials:MA, LPC, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1856 SPENCER DR
Mailing Address - Street 2:
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4536
Mailing Address - Country:US
Mailing Address - Phone:231-286-6066
Mailing Address - Fax:
Practice Address - Street 1:600 S BEACON BLVD # A2
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2178
Practice Address - Country:US
Practice Address - Phone:231-286-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor