Healthcare Provider Details

I. General information

NPI: 1215860218
Provider Name (Legal Business Name): REBECCA WIKLANSKI, LMSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11861 N RANSOM RD
WHEELER MI
48662-9712
US

IV. Provider business mailing address

11861 N RANSOM RD
WHEELER MI
48662-9712
US

V. Phone/Fax

Practice location:
  • Phone: 989-285-2383
  • Fax: 202-915-1035
Mailing address:
  • Phone: 989-285-2383
  • Fax: 202-915-1035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: REBECCA R WIKLANSKI
Title or Position: OWNER
Credential: LMSW
Phone: 989-285-2383