Individual provider · Type 1 NPI

Amanda Wilson

Professional Counselor · College Park, GA

NPI number 1124679899 Active

Practice location

3707 Main St # 5
College Park, GA 30337-3544

Call (678) 471-9781 Map

Mailing address

4755 Albany Way
Atlanta, GA 30331-7947

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1124679899

Amanda Wilson's National Provider Identifier is 1124679899, issued on Sep 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in College Park, GA. The record was last updated on Oct 21, 2025.