CASSIDY WILSON LAC NPI 1902241045

NPI Information

  • NPI: 1902241045
  • Provider Name: CASSIDY WILSON, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 310 WHITTINGTON AVE
    HOT SPRINGS, AR
    ZIP 71901
  • Phone: (501) 623-3477

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NPI Details

Cassidy Wilson, LAC is a mental health counselor in Hot Springs, AR. Cassidy Wilson, LAC NPI is 1902241045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

310 WHITTINGTON AVE
HOT SPRINGS, AR
ZIP 71901-406
Phone: (501) 623-3477

The enumeration date for this NPI number is 5/2/2013 and was last updated on 12/17/2024.

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 HealthA2106008ARKANSASYes

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: 3/30/2025

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