Healthcare Provider Details

I. General information

NPI: 1588877146
Provider Name (Legal Business Name): SUZANNE CHRISTINE EVINK MA, LPC, LMFT, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUZANNE CHRISTINE DEVYLDER BS

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6963 W KL AVE STE A
KALAMAZOO MI
49009-8043
US

IV. Provider business mailing address

6963 W KL AVE STE A
KALAMAZOO MI
49009-8043
US

V. Phone/Fax

Practice location:
  • Phone: 269-459-9790
  • Fax: 269-459-9791
Mailing address:
  • Phone: 269-352-8341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401011616
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4101006447
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: