| Wilson Wellness Group, Llc | |
|
7301 N University Dr Ste 209 Tamarac FL 33321-2935 | |
| (754) 999-0410 | |
| Not Available |
| Full Name | Wilson Wellness Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7301 N University Dr Ste 209, Tamarac, Florida |
| Authorized Official Name and Position | Gail Wilson (OWNER/LICENSED THERAPIST) |
| Authorized Official Contact | 7549990410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Wellness Group, Llc 4750 Nw 5th Pl Coconut Creek FL 33063-6742 Ph: (954) 554-3423 | Wilson Wellness Group, Llc 7301 N University Dr Ste 209 Tamarac FL 33321-2935 Ph: (754) 999-0410 |
| NPI Number | 1306585062 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Medicare PECOS PAC ID | 2365880267 |
|---|---|
| Medicare Enrollment ID | O20240410002129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306585062 | NPI | - | NPPES |
| Provider Name | Gail Wilson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831471002 PECOS PAC ID: 3274971171 Enrollment ID: I20240410002245 |
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