Individual provider · Type 1 NPI

Amanda Michelle Waidelich, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1700375615 Active

Practice location

3333 36th St SE
Grand Rapids, MI 49512-2809

Call (616) 726-1958 Map

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Counselor	101Y00000X	None listed
Professional Counselor Primary	101YP2500X	6401012853 (MI)

Professional Counselor: Definition to come...

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About NPI 1700375615

Amanda Michelle Waidelich, LPC's National Provider Identifier is 1700375615, issued on May 7, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 1, 2025.