| Wilson Counseling Service, Llc | |
|
Vineville Avenue Suite B Macon GA 31204 | |
| (478) 288-0709 | |
| Not Available |
| Full Name | Wilson Counseling Service, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Vineville Avenue, Macon, Georgia |
| Authorized Official Name and Position | Kenneth Wilson (CEO) |
| Authorized Official Contact | 4782880709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Counseling Service, Llc Po Box 385 Hardwick GA 31034-0385 Ph: () - | Wilson Counseling Service, Llc Vineville Avenue Suite B Macon GA 31204 Ph: (478) 288-0709 |
| NPI Number | 1063151447 |
|---|---|
| Provider Enumeration Date | 06/02/2022 |
| Last Update Date | 06/02/2022 |
| Certification Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063151447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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