Provider Demographics
NPI:1841448461
Name:BYLSMA, KAREN A (LCSW)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:BYLSMA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:WASSINK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3124 N WELLNESS DR
Mailing Address - Street 2:SUITE 30
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-8121
Mailing Address - Country:US
Mailing Address - Phone:616-786-3304
Mailing Address - Fax:616-786-3375
Practice Address - Street 1:3124 N WELLNESS DR
Practice Address - Street 2:SUITE 30
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-8121
Practice Address - Country:US
Practice Address - Phone:616-786-3304
Practice Address - Fax:616-786-3375
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010145671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical