Provider Demographics
NPI:1699241356
Name:WOHLFORD COUNSELING LLC
Entity type:Organization
Organization Name:WOHLFORD COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOHLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-536-1934
Mailing Address - Street 1:PO BOX 238
Mailing Address - Street 2:
Mailing Address - City:GOWEN
Mailing Address - State:MI
Mailing Address - Zip Code:49326-0238
Mailing Address - Country:US
Mailing Address - Phone:616-536-1934
Mailing Address - Fax:616-333-5370
Practice Address - Street 1:8650 BYRON CENTER AVE SW STE 19
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-9589
Practice Address - Country:US
Practice Address - Phone:616-536-1938
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty