MEDICARE: SHEILA D WILKINSON LPC, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	6401009555	MI
2	103T00000X	Psychologist	6301012938	MI

General Provider Information

NPI Number	:	1699742361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA D WILKINSON LPC, LLP

Provider Business Mailing Address
First Line	:	3719 S SHERIDAN DR
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49444-4150
Country	:	US
Telephone Number	:	231-750-7004
Fax Number	:

Provider Business Practice Location Address
First Line	:	4265 GRAND HAVEN RD STE 106
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49441-5546
Country	:	US
Telephone Number	:	231-735-7005
Fax Number	:	231-766-6322

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	04/12/2017

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