Individual provider · Type 1 NPI

Amanda Wilson

Peer Specialist · Grand Rapids, MI

NPI number 1972491199 Active

Practice location

260 Jefferson Ave SE
Grand Rapids, MI 49503-4597

Call (616) 685-2700 Map

Mailing address

2557 Fox Run Rd SW Apt 1
Wyoming, MI 49519-4121

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1972491199

Amanda Wilson's National Provider Identifier is 1972491199, issued on Jun 26, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 26, 2025.