Michael Robert Wildman, LCAS, CCS - Counselor in Greensboro, NC

Michael Robert Wildman, LCAS, CCS is a Counselor - Addiction (substance Use Disorder) based in Greensboro, North Carolina. Michael Robert Wildman is licensed to practice in North Carolina (license number ) and his current practice location is 430 Battleground Ave Unit A, Greensboro, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 575-9951.

NPI number for Michael Robert Wildman is 1255989810 and his current mailing address is 1011 Pamlico Dr, Greensboro, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255989810.

Contact Information

Michael Robert Wildman, LCAS, CCS
430 Battleground Ave Unit A,
Greensboro, NC 27401-2104
(336) 575-9951
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMichael Robert Wildman
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location430 Battleground Ave Unit A, Greensboro, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255989810
  • Provider Enumeration Date: 08/27/2019
  • Last Update Date: 08/27/2019

Medical Identifiers

Medical identifiers for Michael Robert Wildman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255989810NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Robert Wildman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Robert Wildman, LCAS, CCS
1011 Pamlico Dr,
Greensboro, NC 27408-8511

Ph: () -
Michael Robert Wildman, LCAS, CCS
430 Battleground Ave Unit A,
Greensboro, NC 27401-2104

Ph: (336) 575-9951

Reviews and Comments


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