Provider Demographics
NPI:1235003179
Name:WILDFLOWER FIELD COUNSELING LLC
Entity type:Organization
Organization Name:WILDFLOWER FIELD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:616-681-5795
Mailing Address - Street 1:11889 WILLOW WOOD N
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-9154
Mailing Address - Country:US
Mailing Address - Phone:616-681-5795
Mailing Address - Fax:616-226-4957
Practice Address - Street 1:12930 JAMES ST STE 140
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8324
Practice Address - Country:US
Practice Address - Phone:616-681-5796
Practice Address - Fax:616-226-4957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty