PRISCILLA WILSON LMHP NCC NPI 1790057453

NPI Information

NPI: 1790057453
Provider Name: PRISCILLA WILSON, LMHP, NCC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
230 E 22ND ST STE 3
FREMONT, NE
ZIP 68025
Phone: (402) 720-5129
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PRISCILLA WILSON, LMHP, NCC is a mental health counselor in Fremont, NE. PRISCILLA WILSON, LMHP, NCC NPI is 1790057453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 E 22ND ST STE 3
FREMONT, NE
ZIP 68025-661
Phone: (402) 720-5129
Fax: (402) 727-4839

The provider's authorized official is Priscilla Anne Wilson .
The authorized official title is Owner and has the following contact phone number (402) 720-5129.

The enumeration date for this NPI number is 1/27/2012 and was last updated on 1/27/2012.

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	101YM0800X	Counselor	Mental Health	2417	NEBRASKA	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	10025233400	MEDICAID	NEBRASKA

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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