MR. MICHAEL TYLER WILSON ADT
NPI 1821749565
Counselor - Addiction (Substance Use Disorder) in Elkton, MD

Active since January 14, 2022
212 BLUE BALL AVE, ELKTON, MD 21921(410) 620-6077(410) 620-6081 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Tyler Wilson Adt NPPES

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

MR. MICHAEL TYLER WILSON ADT (NPI 1821749565) is an individual addiction (substance use disorder) provider in Elkton, Maryland and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1821749565
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MICHAEL TYLER WILSONCredential: ADT
Location Address212 BLUE BALL AVEElkton, MD 21921-5222
Mailing Address212 Blue Ball AveElkton, MD 21921-5222 · (410) 620-6077 · Fax (410) 620-6081
Fax(410) 620-6081
Sole ProprietorNo
Enumeration DateJanuary 14, 2022
NPPES CertifiedJanuary 14, 2022
NPI 1821749565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
212 BLUE BALL AVE, Elkton, MD 21921

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.

Peer Specialist
212 BLUE BALL AVE
ELKTON, MD 21921
Counselor (Addiction (Substance Use Disorder))
212 BLUE BALL AVE
ELKTON, MD 21921
Counselor (Addiction (Substance Use Disorder))
212 BLUE BALL AVE
ELKTON, MD 21921
Counselor (Mental Health)
212 BLUE BALL AVE
ELKTON, MD 21921
Counselor (Addiction (Substance Use Disorder))
212 BLUE BALL AVE
ELKTON, MD 21921
Counselor (Addiction (Substance Use Disorder))
212 BLUE BALL AVE
ELKTON, MD 21921
Clinic/Center (Methadone)
212 BLUE BALL AVE
ELKTON, MD 21921
Peer Specialist
212 BLUE BALL AVE
ELKTON, MD 21921

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 Michael Wilson's NPI number?

The NPI number for Michael Wilson is 1821749565. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Michael Wilson located?

Michael Wilson practices at 212 Blue Ball Ave, Elkton, MD 21921. The listed phone number is (410) 620-6077.

What is Michael Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Wilson was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.