Provider Demographics
NPI:1548304827
Name:SEYFARTH WARD, LINDA G VII (LMSW, LMFT,)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:G
Last Name:SEYFARTH WARD
Suffix:VII
Gender:F
Credentials:LMSW, LMFT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 RIVERSEDGE DR
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-2426
Mailing Address - Country:US
Mailing Address - Phone:810-299-1040
Mailing Address - Fax:
Practice Address - Street 1:2701 RIVERSEDGE DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-2426
Practice Address - Country:US
Practice Address - Phone:810-299-1040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010617761041C0700X
MI4101006105106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist