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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN R WISDOM, LMFT

Active Sole Proprietor

BRYAN R WISDOM, LMFT is a Marriage & Family Therapist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1083377980 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · GRAND RAPIDS, MI

Registration Details

NPI Number
1083377980
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2021 (4.818410743855 yrs)
Last Updated
Jul 17, 2025
License
4101007405 (MI)
Sole Proprietor
Yes

Practice Information

Address
233 FULTON ST E STE 28
GRAND RAPIDS, MI, 495033262
Browse MI providers · Browse ZIP 49503
Phone
6162289244
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in GRAND RAPIDS, MI

Name Credential NPI
PAMELA M VAUGHT ED.D. 1154318806
CHARLOTTE JEAN HILBER M.A. LMFT 1407872526
ELIANE JUNE HOOGEBOOM LMSW 1336235118
MRS. JENNIFER LYNN SELENT LMFT 1215025176
MS. PATRICIA ANN MAKSOUDIAN MS, LMFT 1871650747
JANICE M TALEN LMFT 1114076189
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.