LATISHA DENISE WILSON LPC LMFT-A LCDC-I NPI 1447745716

NPI Information

NPI: 1447745716
Provider Name: LATISHA DENISE WILSON, LPC, LMFT-A, LCDC-I
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
507 N 8TH ST
KILLEEN, TX
ZIP 76541
Phone: (254) 523-6710
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Latisha Denise Wilson, LPC, LMFT-A, LCDC-I is a mental health counselor in Killeen, TX. Latisha Denise Wilson, LPC, LMFT-A, LCDC-I NPI is 1447745716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

507 N 8TH ST
KILLEEN, TX
ZIP 76541-867
Phone: (254) 523-6710

The enumeration date for this NPI number is 6/28/2018 and was last updated on 12/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	33788	TEXAS	No
2	101YM0800X	Counselor	Mental Health	79124	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	403747501	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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