LATISHA DENISE WILSON (NPI# 1447745716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447745716 |
Entity Type | Individual |
Full Name | LATISHA DENISE WILSON |
Credential | LPC, LMFT-A, LCDC-I |
Practice Address |
507 N 8th St Killeen TX 76541-4867 |
Mailing Address |
2904 E Stan Schlueter Loop # 68 Killeen TX 76542-4813 |
Practice Telephone | 2545236710 |
Mailing Telephone | 2545236710 |
Enumeration Date | 2018-06-28 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
33788 | TX | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
79124 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 403747501 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265986863 | Latisha Wilson | Counselor | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2016-08-11 |
1972948867 | Latisha Wilson | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2013-05-06 |
Street Address |
507 N 8TH ST |
City | KILLEEN |
State | TX |
Zip Code | 76541-4867 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619226396 | Shyra Jones Counseling Services | Community/Behavioral Health | 507 N 8th St, Killeen, TX 76541-4867 | 2012-09-10 |
1447894290 | Narrations of Life Counseling Services, LLC | Clinic/Center | 507 N 8th St, Killeen, TX 76541-4867 | 2019-11-05 |
1255988283 | It's A Journey Counseling LLC | Counselor | 507 N 8th St, Killeen, TX 76541-4867 | 2019-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982240297 | Rohini Singh 2 Dmd Pllc | Dentist | 2520 Trimmier Rd Ste 105, Killeen, TX 76541 | 2019-11-21 |
1942723218 | Madeline Y Chung | Acupuncturist | 201 N Gray St #a, Killeen, TX 76541 | 2017-07-19 |
1447709266 | Henry Charles Lucksinger Jr. | Dentist | 811 Oakhill Drive, Killeen, TX 76541 | 2016-09-22 |
1285039289 | Greater Killeen Free Clinic | Clinic/Center | 718 N 2nd Str, Suite A, Killeen, TX 76541 | 2014-11-03 |
1508158247 | Michelle D Tucker | Social Worker | 508 North 8th Street, Killeen, TX 76541 | 2011-05-13 |
1952618258 | Mbs Wellness Chiropractic Center | Clinic/Center | 300 West Central Texas Expressway, Killeen, TX 76541 | 2010-09-08 |
1134369804 | Adrianne B Scanlon | Occupational Therapist | 605 Donne, Killeen, TX 76541 | 2009-02-20 |
1306962337 | Karen Venhuizen | Speech-Language Pathologist | 882 Fort Hood Road, Suite 1050, Killeen, TX 76541 | 2007-03-21 |
1184759714 | Eleanor L. Melville | Social Worker | 1805 Florence Road, Suite 10, Killeen, TX 76541 | 2007-02-23 |
1962545491 | Matthew Michael Williams | Counselor | 1711 E Central Texas Expy Ste 300i, Killeen, TX 76541 | 2007-02-15 |
Find all providers in zip 76541 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679171656 | Chavela Ramiro | Counselor | 3808 Sawtooth Dr, Killeen, TX 76542-4521 | 2020-10-13 |
1619586021 | Natalie Elizabeth Hill Doyle | Counselor | 1215 N 4th St Apt 8, Killeen, TX 76541-3402 | 2020-07-31 |
1629690623 | Kendra Queen | Counselor | 2700 Trimmier Rd Apt 6106, Killeen, TX 76542-6045 | 2020-05-12 |
1083241921 | Gina Smith | Counselor | 5900 Drystone Ln, Killeen, TX 76542-5285 | 2020-03-23 |
1700412020 | Healthy Minds Counseling Center | Counselor | 2700 S Fort Hood St Ste C, Killeen, TX 76542-2300 | 2020-03-18 |
1932748142 | Taylor Kleshick | Counselor | 3816 S Clear Creek Rd Ste C301, Killeen, TX 76549-4107 | 2020-01-06 |
1558900977 | Carpe Diem Behavioral Health & Counseling, Pllc. | Counselor | 9312 Bowfield Dr, Killeen, TX 76542-6291 | 2020-01-02 |
1407400492 | Elizabeth Brothers | Counselor | 501 W Elms Rd Ste 8, Killeen, TX 76542-2573 | 2019-07-29 |
1700343530 | Mary Elizabeth Cannon | Counselor | 1711 E Central Texas Expy # 30, Killeen, TX 76541-9166 | 2019-02-28 |
1104341940 | Angela Marie Jourdain | Counselor | 1519 Florence Rd Ste 16, Killeen, TX 76541-7903 | 2017-08-12 |
Find all providers in KILLEEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.