SHANDRA WILSON LPC NPI 1285043968

NPI Information

NPI: 1285043968
Provider Name: SHANDRA WILSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4500 I 55 N STE 223
JACKSON, MS
ZIP 39211
Phone: (337) 764-2065
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Shandra Wilson, LPC is a professional counselor in Jackson, MS. Shandra Wilson, LPC NPI is 1285043968. 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:

4500 I 55 N STE 223
JACKSON, MS
ZIP 39211-931
Phone: (337) 764-2065

The enumeration date for this NPI number is 8/7/2014 and was last updated on 11/13/2020.

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	101YP2500X	Counselor	Professional	1835	MISSISSIPPI	Yes
2	101YP2500X	Counselor	Professional	4151	LOUISIANA	No
3	101YP2500X	Counselor	Professional	70098	TEXAS	No

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: 4/28/2024

NPI Synchronization or Removal

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