AMANDA MICHELLE WAIDELICH LPC NPI 1700375615

NPI Information

NPI: 1700375615
Provider Name: AMANDA MICHELLE WAIDELICH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
3333 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 726-1958
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Amanda Michelle Waidelich, LPC is a professional counselor in Grand Rapids, MI. Amanda Michelle Waidelich, LPC NPI is 1700375615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 36TH ST SE
GRAND RAPIDS, MI
ZIP 49512-809
Phone: (616) 726-1958

The NPI 1700375615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/7/2018 and was last updated on 10/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional			No
3	101YP2500X	Counselor	Professional	6401012853	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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