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Search › Michigan › Psychiatric/Mental Health Nurse Practitioner

Amanda Chagolla, PMHNP

NPI 1184237885 · on the registry since 2020

Practice

Address
21415 Goddard Rd
Taylor, MI 48180
Phone
(734) 375-6900
Fax
(734) 398-3737
Organisation at this address
Modern Psych And Wellness Pllc
Back On Track Medical Equipment Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
OH, MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan