TONYA WILHELM LICSW NPI 1245619014

NPI Information

Tonya Wilhelm, LICSW is a mental health (including community mental health center) clinic center in Prior Lake, MN. Tonya Wilhelm, LICSW NPI is 1245619014. 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:

16228 MAIN AVE SE STE 109
PRIOR LAKE, MN
ZIP 55372-789
Phone: (612) 418-8697
Fax: (888) 308-4056

The NPI 1245619014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/26/2015 and was last updated on 11/24/2023.

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:

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