LEAH WILSON LPC NPI 1023337730

NPI Information

NPI: 1023337730
Provider Name: LEAH WILSON, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4323 JEFFERSON AVE
TEXARKANA, AR
ZIP 71854
Phone: (870) 733-0700
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Leah Wilson, LPC is a mental health counselor in Texarkana, AR. Leah Wilson, LPC NPI is 1023337730. 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:

4323 JEFFERSON AVE
TEXARKANA, AR
ZIP 71854-515
Phone: (870) 733-0700
Fax: (870) 733-0705

The enumeration date for this NPI number is 5/19/2010 and was last updated on 8/31/2016.

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	171M00000X	Case Manager/Care Coordinator				No
2	101Y00000X	Counselor		10-10AE-PL	ARKANSAS	No
3	101YM0800X	Counselor	Mental Health	A1107064	ARKANSAS	No
4	101YM0800X	Counselor	Mental Health	P1503013	ARKANSAS	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	116399726	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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