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Bryan Wisdom, LMFT — NPI 1083377980, Grand Rapids, MI | NPI Central

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NPI 1083377980

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Bryan Wisdom, LMFT

NPI 1083377980 · Marriage & Family Therapist · Grand Rapids, MI

Provider details

NPI number: 1083377980
Entity type: Individual
Primary specialty: Marriage & Family TherapistBehavioral Health & Social Service Providers
Credential: LMFT
Sex: Male
Sole proprietor: Yes
License: 4101007405 (MI)

Specialties & taxonomies

Marriage & Family TherapistPrimary106H00000XLicense 4101007405 (MI)
Behavioral Health & Social Service Providers

Practice location

233 Fulton St E Ste 28

Grand Rapids, MI 49503-3262

Phone: (616) 228-9244

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

928 N Main St

Elkhart, IN 46514-2736

Additional practice locations (1)

1048 Duquesa Dr
Lake Isabella, MI 48893-9392
Phone: (810) 206-2526

Registry dates

Enumerated: 2021-10-18
Last updated: 2025-07-17
Certified: 2025-07-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.