AMANDA MICHELLE WAIDELICH


Address: 3333 36th St Se, Grand Rapids, MI 49512-2809
Phone: 6167261958

AMANDA MICHELLE WAIDELICH (NPI# 1700375615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700375615
Entity Type Individual
Full Name AMANDA MICHELLE WAIDELICH
Credential LPC , LLMFT
Practice Address 3333 36th St Se
Grand Rapids
MI 49512-2809
Practice Telephone 6167261958
Mailing Telephone 6167261958
Enumeration Date 2018-05-07
Last Update Date 2018-05-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
6401012853 MI Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 3333 36TH ST SE
City GRAND RAPIDS
State MI
Zip Code 49512-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861686784 Lauren Elizabeth Spoon Clinical Neuropsychologist 3333 36th St Se, Grand Rapids, MI 49512-2809 2007-09-04
1942830963 Shelby Vanhouten Social Worker 3333 36th St Se, Grand Rapids, MI 49512-2809 2020-01-17
1730673468 Anna Derr Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2018-06-16
1154861433 Caroline Lynch Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2017-03-06
1396197802 Lauren Scott Social Worker 3333 36th St Se, Grand Rapids, MI 49512-2809 2016-07-08
1295180602 Ashley Crawford I Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2016-05-04
1841680436 Darla K Stutzman Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2015-02-03
1316353550 Megan Kimmerle Bowman Case Manager/Care Coordinator 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-07-09
1417373481 Jennifer Price Counselor 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-03-13
1497178644 Lisa Staple Registered Nurse 3333 36th St Se, Grand Rapids, MI 49512-2809 2014-01-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649757071 St. Lukes Primary Care Family Medicine 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 2018-07-27
1013493733 Pharmascript of Michigan Gr LLC Pharmacy 2661 29th St. Se Suite A, Grand Rapids, MI 49512 2018-07-16
1245736040 Cassandra Slater Technician, Other 2925 Breton Rd Se, Grand Rapids, MI 49512 2018-04-02
1235632704 John Mitchell Tanja Occupational Therapist 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 2018-03-12
1952829855 Sarah Harlow Physical Therapist 2951 44th St Se, Kentwood, MI 49512 2017-08-31
1194248815 Melinda Huizenga Registered Nurse 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 2017-07-25
1659812931 Frantzie Pierre Counselor 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 2017-03-20
1104128602 Hope Network Behavioral Health Services Psychiatry & Neurology 3361 36th Street, Grand Rapids, MI 49512 2010-12-03
1518282631 Melanie Anne Hogeterp Social Worker 3180 East Paris Se, Kentwood, MI 49512 2010-03-31
1013147495 Ardean Beth Brock-vanderwall Counselor 2828 Kraft Ave., Grand Rapids, MI 49512 2009-07-20
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164020558 Danita Mcalister Counselor 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 2020-10-16
1013521574 Megan Flier Counselor 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 2020-09-02
1457962078 Cappon Consulting LLC Counselor 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 2020-08-17
1124644596 Travis James Atkinson Counselor 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 2020-06-22
1639790207 Tracey Wicks Counselor 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 2020-05-05
1174160592 Lindsey Elizabeth Rosa Counselor 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 2019-12-04
1710530597 New Way Counseling LLC Counselor 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 2019-07-19
1588216048 Kate Jack Counselor 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 2019-07-15
1104488105 Travis Gordon Counselor 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 2019-07-01
1255996575 The Family Therapy Place Pllc Counselor 731 Front Ave Nw, Grand Rapids, MI 49504-5366 2019-05-02
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Competitor

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City GRAND RAPIDS
Zip Code 49512

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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