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MICHALE LAKE WILSON LDO
NPI 1154109676
Counselor - School in Albany, GA

Active since September 18, 2023
1201 N WESTOVER BLVD, ALBANY, GA 31707(229) 888-2072 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michale Lake Wilson Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHALE LAKE WILSON LDO (NPI 1154109676) is an individual school provider in Albany, Georgia and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1154109676
Entity TypeIndividualMale
Primary Taxonomy101YS0200X
Provider Legal NameMICHALE LAKE WILSONCredential: LDO
Location Address1201 N WESTOVER BLVDAlbany, GA 31707-6600
Mailing Address1201 N Westover BlvdAlbany, GA 31707-6600 · (229) 888-2072
Phone(229) 888-2072
Sole ProprietorNo
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 16, 2023
✔ NPI 1154109676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1201 N WESTOVER BLVD, Albany, GA 31707
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FALAN COLLIER JOHNSON PHARMD
Pharmacist
1201 N WESTOVER BLVD
ALBANY, GA 31707
Dougherty County (229) 430-8999
SAM'S CLUB OPTICAL
Eyewear Supplier
1201 N WESTOVER BLVD
ALBANY, GA 31707
Dougherty County (229) 888-3400
CYNTHIA ANDERSON
Technician/Technologist (Optician)
1201 N WESTOVER BLVD
ALBANY, GA 31707
Dougherty County (229) 888-2072
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
1201 N WESTOVER BLVD
ALBANY, GA 31707
Dougherty County (229) 888-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michale Wilson's NPI number?

The NPI number for Michale Wilson is 1154109676. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Michale Wilson located?

Michale Wilson practices at 1201 N Westover Blvd, Albany, GA 31707. The listed phone number is (229) 888-2072.

What is Michale Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Michale Wilson was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.