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AMANDA JANE GORDON
NPI 1417666256
Peer Specialist in Richmond, MI

Active since November 21, 2022
400 STODDARD RD, RICHMOND, MI 48062(810) 392-2167 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Jane Gordon NPPES

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

AMANDA JANE GORDON (NPI 1417666256) is an individual peer specialist in Richmond, Michigan and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1417666256
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA JANE GORDON
Location Address400 STODDARD RDRichmond, MI 48062-2505
Mailing Address400 Stoddard RdRichmond, MI 48062-2505
Phone(810) 392-2167
Sole ProprietorNo
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1417666256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

400 STODDARD RD, Richmond, MI 48062
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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

MICHAEL J EADIE MD
Internal Medicine (Addiction Medicine)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MRS. GABRIELLE MILDRED HILL RN,B.S. CAC -R
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MS. MARILYN ANN WALKER LPC
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KATHLEEN SUZANNE SHIRKEY REGISTERED NURSE
Registered Nurse (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KAREN MARLENE PACIOREK LPN
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
LYNN MARIE LACAVERA
Registered Nurse (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-3583
ROBERT JOHN FETZER M.S., L.M.S.W.
Social Worker (Clinical)
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MRS. TONYA SUE CANGEMI LPN
Substance Abuse Rehabilitation Facility
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
ALLEN JAMES EIFERT CAC II
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
SANDRA BISCARNER LPN
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MRS. AMY L FORBES LPN
Substance Abuse Rehabilitation Facility
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MS. CHERYL LYNN MATSON RN
Substance Abuse Rehabilitation Facility
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-3481
DARLA K. KETHE
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
LINDA ALLEN
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MRS. SHERRIE ELLEN ROYCE LPN
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MRS. THERESA MARY SHEPHARD RN
Registered Nurse (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
DIANA DALE FIELDER LPN
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. LARRY JAMES GOODALE FAODP
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
MR. DOROTHY MARGARET CLARK
Licensed Practical Nurse
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167
KIRK PFANNES
Counselor (Addiction (Substance Use Disorder))
400 STODDARD RD
RICHMOND, MI 48062
Macomb County (810) 392-2167

Frequently Asked Questions

What is Amanda Gordon's NPI number?

The NPI number assigned to this healthcare provider is 1417666256, enumerated as an "individual" on November 21, 2022.

Where is the provider located?

The provider is located at 400 STODDARD RD RICHMOND, MI 48062 and the phone number is (810) 392-2167.

What is the provider's specialty?

Peer Specialist with taxonomy code 175T00000X.