Organization
WILSON PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WILSON LLP (PRESIDENT / THERAPIST)
(616) 600-1667
Entity
Organization
Contact information
Practice address
5001 PLAINFIELD AVE NE STE B, GRAND RAPIDS, MI 49525-1050
(616) 600-1667
(616) 805-3613
Mailing address
5001 PLAINFIELD AVE NE STE B, GRAND RAPIDS, MI 49525-1050
(616) 600-1667
(616) 805-3613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
05/15/2018
Last updated
05/27/2025
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