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Michale Lake Wilson, LDO

NPI 1154109676ActiveIndividual· Counselor, School· Albany, GA

Counselor, School (LDO) in Albany, Georgia, with an NPI issued in September 2023.

Overview

NPI1154109676
StatusActive
Entity typeIndividual
CredentialLDO
Sole proprietorNo
NPI issuedSep 18, 2023
Last updated in NPPESSep 18, 2023
Certified by providerSep 16, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Counselor, School Primary101YS0200X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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