Healthcare Provider Details

I. General information

NPI: 1326972860
Provider Name (Legal Business Name): WELLWARD COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 KOLLEN PARK DR
HOLLAND MI
49423
US

IV. Provider business mailing address

126 E KILGORE RD STE 400
PORTAGE MI
49002-0596
US

V. Phone/Fax

Practice location:
  • Phone: 269-348-0477
  • Fax:
Mailing address:
  • Phone: 269-348-0477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. AYLA LUDWIG
Title or Position: PRACTICE OWNER, COUNSELOR
Credential: PH.D., LPC, NCC, CCC
Phone: 269-348-0477