Gornick-Maycroft, Wendy Lou

Gornick-Maycroft, Wendy Lou is an sole proprietor health care provider with primary practice located at 640 3 Mile Rd Nw Ste G , Grand Rapids MI 49544-8209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Gornick-Maycroft, Wendy Lou can be contacted via phone (800) 693-1916.

Contact Information

Primary practice address
640 3 Mile Rd Nw Ste G Grand Rapids MI 49544-8209
Phone: (800) 693-1916
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401012338 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401012338

Profile Details

NPI number 1740351014
LBN Legal business name Gornick-Maycroft, Wendy Lou
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Aug 3rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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