David Leroy Wilson, LMFT, MDIV is a
Marriage & Family Therapist based in Mount Washington, Kentucky. David Leroy Wilson is licensed to practice in Kentucky (license number 167720) and his current practice location is
975 N Bardstown Rd, Mount Washington, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 822-6861.
NPI number for David Leroy Wilson is 1760822381 and his current mailing address is 975 N Bardstown Rd, Mount Washington, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760822381.
Healthcare Provider's Profile
Full Name | David Leroy Wilson |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 975 N Bardstown Rd, Mount Washington, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760822381
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 10/12/2016
Medical Identifiers
Medical identifiers for David Leroy Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760822381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Indiana) | Secondary |
106H00000X | Marriage & Family Therapist | 2012-012 (Kentucky) | Secondary |
106H00000X | Marriage & Family Therapist | 167720 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Leroy Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Leroy Wilson, LMFT, MDIV 975 N Bardstown Rd, Mount Washington, KY 40047-7602 Ph: (502) 822-6861 | David Leroy Wilson, LMFT, MDIV 975 N Bardstown Rd, Mount Washington, KY 40047-7602 Ph: (502) 822-6861 |
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