Provider Demographics
NPI:1801962899
Name:SAUNDERS, TIMBERLY LYNN (LPC)
Entity type:Individual
Prefix:MRS
First Name:TIMBERLY
Middle Name:LYNN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17680 MCKINLEY RD
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-8949
Mailing Address - Country:US
Mailing Address - Phone:231-592-8694
Mailing Address - Fax:
Practice Address - Street 1:211 MAPLE ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-3215
Practice Address - Country:US
Practice Address - Phone:231-629-1968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006965101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI7509106890Medicare UPIN