Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Identity Counseling Psychology West PLLC

Organization Mental Health Counselor · NPI 1720600695

Identity Counseling Psychology West PLLC provides Mental Health Counselor services in Ann Arbor, Michigan. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

635 S Maple Rd Ste 2
Ann Arbor, MI 48103-3838
Phone: (734) 645-8944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1720600695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Wilkins — Owner · (734) 545-0332
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address635 S Maple Rd Ste 2, Ann Arbor, MI 48103-3838

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