Healthcare Provider Details

I. General information

NPI: 1730696253
Provider Name (Legal Business Name): ALINA BIERWAGEN MA, LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2018
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 OLD LANSING RD
LANSING MI
48917-4392
US

IV. Provider business mailing address

3410 OLD LANSING RD
LANSING MI
48917-4392
US

V. Phone/Fax

Practice location:
  • Phone: 517-574-4456
  • Fax:
Mailing address:
  • Phone: 517-574-4456
  • Fax: 517-580-8659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451017202
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: