MRS. VELESSAUNIA BRIDGES-WILSON MSC LLPC NPI 1649501503

NPI Information

NPI: 1649501503
Provider Name: MRS. VELESSAUNIA BRIDGES-WILSON, MSC, LLPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 336-3909
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MRS. Velessaunia Bridges-wilson, MSC, LLPC is a mental health counselor in Grand Rapids, MI. MRS. Velessaunia Bridges-wilson, MSC, LLPC NPI is 1649501503. 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:

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503-918
Phone: (616) 336-3909

The enumeration date for this NPI number is 1/15/2010 and was last updated on 3/5/2015.

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	101Y00000X	Counselor				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
3	101YS0200X	Counselor	School			No
4	106H00000X	Marriage & Family Therapist				No
5	101YM0800X	Counselor	Mental Health	6401011735	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: 11/14/2023

NPI Synchronization or Removal

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