Provider Demographics
NPI:1699742361
Name:WILKINSON, SHEILA D (LPC, LLP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:D
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:LPC, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 S SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-4150
Mailing Address - Country:US
Mailing Address - Phone:231-750-7004
Mailing Address - Fax:
Practice Address - Street 1:4265 GRAND HAVEN RD STE 106
Practice Address - Street 2:
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-5546
Practice Address - Country:US
Practice Address - Phone:231-735-7005
Practice Address - Fax:231-766-6322
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-02
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009555101YM0800X
MI6301012938103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist