MR. WYCLIFFE ABUYA
NPI 1699369207
Counselor - Professional in Kentwood, MI
Active since February 24, 2021
About Mr. Wycliffe Abuya NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WYCLIFFE ABUYA (NPI 1699369207) is an individual professional provider in Kentwood, Michigan, licensed in Michigan (6401017707) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1699369207
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. WYCLIFFE ABUYA
Location Address5082 BREEZEFIELD DR SEKentwood, MI 49512-9520
Mailing Address5082 Breezefield Dr SeKentwood, MI 49512-9520 · (616) 337-1541
Phone(616) 337-1541
Sole ProprietorYes
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 5, 2021
✔ NPI 1699369207 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401017707
5082 BREEZEFIELD DR SE, Kentwood, MI 49512
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699369207, enumerated as an "individual" on February 24, 2021.
The provider is located at 5082 BREEZEFIELD DR SE KENTWOOD, MI 49512 and the phone number is (616) 337-1541.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
