Healthcare Provider Details

I. General information

NPI: 1508589094
Provider Name (Legal Business Name): RICHARD A MAIER LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1428 44TH ST SW STE B
WYOMING MI
49509-4312
US

IV. Provider business mailing address

1428 44TH ST SW STE B
WYOMING MI
49509-4312
US

V. Phone/Fax

Practice location:
  • Phone: 616-209-2222
  • Fax: 616-259-4856
Mailing address:
  • Phone: 616-209-9222
  • Fax: 616-259-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A MAIER
Title or Position: OWNER / SOLE MEMBER
Credential:
Phone: 616-209-9222