Bradford Wilson, TLLP
Bradford Wilson, TLLP is a Mental Health Counselor in Stevensville, Michigan. Qualified in 2011, 15 years ago. Practices with Lakeland Medical Practices, a 287-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 15
- Licensed in
- MI
- In the registry since
- 2012
- Specialties on file
- 3
Practice location Address checks out
5675 Fairview StStevensville, MI 49127-1033
Phone: (269) 429-7727
Fax: (269) 429-5754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 133 W Main St, Benton Harbor, MI 49022-3607 — (269) 408-2258
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 6361007564 (MI) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 6301015339 (MI) |
| Counselor | Taxonomy 101Y00000X · Licence 6361007564 (MI) |
Record details
| NPI number | 1396081451 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | TLLP |
| Sole proprietor | No |
| NPI enumerated | December 18, 2012 |
| Last updated in NPPES | February 10, 2025 |
| Certification date | February 10, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Lakeland Medical Practices — 287 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Stevensville
-
Christiana Danielle Atkins, LLPC
5675 Fairview St, Stevensville, MI 49127-1033 · (269) 429-7727
-
Dawn R Diggs, LPC
7889 Red Arrow Hwy, Stevensville, MI 49127-0000 · (269) 465-4000
-
Richard A Watson
5675 Fairview St, Stevensville, MI 49127-1033 · (269) 429-7727