CLAYTON WILSON PLLC NPI 1114769403

NPI Information

  • NPI: 1114769403
  • Provider Name: CLAYTON WILSON PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2701 N MILDRED AVE APT 3A
    CHICAGO, IL
    ZIP 60614
  • Phone: (734) 395-3298

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NPI Details

CLAYTON WILSON PLLC is a mental health counselor in Chicago, IL. CLAYTON WILSON PLLC NPI is 1114769403. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 N MILDRED AVE APT 3A
CHICAGO, IL
ZIP 60614-407
Phone: (734) 395-3298

The provider's authorized official is Clayton Wilson .
The authorized official title is Sole Member and has the following contact phone number (734) 395-3298.

The enumeration date for this NPI number is 6/10/2024 and was last updated on 3/18/2025.

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
1101YM0800XCounselorMental HealthYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 11/21/2025

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