MICHAEL WILSON
NPI 1497207419
Counselor - Professional in Lansing, MI
Active since October 25, 2016
About Michael Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL WILSON (NPI 1497207419) is an individual professional provider in Lansing, Michigan, licensed in Michigan (6401000943) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1497207419
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL WILSON
Location Address812 E JOLLY RD, SUITE 216Lansing, MI 48910-6818
Mailing Address812 E Jolly Rd, Suite 216Lansing, MI 48910-6818 · (517) 346-8610
Phone(517) 346-8610
Sole ProprietorYes
Enumeration DateOctober 25, 2016
✔ NPI 1497207419 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 · 6401000943
812 E JOLLY RD, Lansing, MI 48910
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497207419, enumerated as an "individual" on October 25, 2016.
The provider is located at 812 E JOLLY RD SUITE 216 LANSING, MI 48910 and the phone number is (517) 346-8610.
Counselor with taxonomy code 101YP2500X and a focus in Professional.