| Amanda Waidelich | |
|
219 N Queen St Nashville MI 49073-9323 | |
| (517) 488-5667 | |
| (888) 720-8803 |
| Full Name | Amanda Waidelich |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 219 N Queen St, Nashville, Michigan |
| Authorized Official Name and Position | Amanda M Waidelich (OWNER) |
| Authorized Official Contact | 5174885667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Waidelich 219 N Queen St Nashville MI 49073-9323 Ph: (517) 488-5667 | Amanda Waidelich 219 N Queen St Nashville MI 49073-9323 Ph: (517) 488-5667 |
| NPI Number | 1396106258 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396106258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401012853 (Michigan) | Primary |
Covenant Life Birth And Wellness Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7101 Butler Rd, Nashville, MI 49073 Phone: 269-218-1232 |