Basic Information
| Provider Information | |||||||||
| NPI: | 1770833295 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASE | ||||||||
| FirstName: | WENDY | ||||||||
| MiddleName: | ALYSON | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 32406 FRANKLIN RD UNIT 250612 | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480257023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8102271211 | ||||||||
| FaxNumber: | 8102205509 | ||||||||
| Practice Location | |||||||||
| Address1: | 32841 MIDDLEBELT RD STE 407 | ||||||||
| Address2: | |||||||||
| City: | FARMINGTON HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483341771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2482178511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/12/2012 | ||||||||
| LastUpdateDate: | 06/01/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 6401013165 | MI | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.