Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Robert Wildman, LCAS, CCS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1255989810

Michael Robert Wildman, LCAS, CCS is an Addiction (Substance Use Disorder) Counselor in Greensboro, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019

Practice location Address checks out

430 Battleground Ave Unit A
Greensboro, NC 27401-2104
Phone: (336) 575-9951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (NC)

Record details

NPI number1255989810
Entity typeIndividual (Type 1)
GenderMale
Credentials LCAS , CCS
Sole proprietorYes
NPI enumeratedAugust 27, 2019
Last updated in NPPESAugust 27, 2019

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