Wilson, Darla Dawn

Wilson, Darla Dawn is an sole proprietor health care provider with primary practice located at 5208 W Reno Ave , Oklahoma City OK 73127-6344. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wilson, Darla Dawn can be contacted via phone (405) 948-4800.

Contact Information

Primary practice address
5208 W Reno Ave Oklahoma City OK 73127-6344
Phone: (405) 948-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 919 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4839 Oklahoma

Profile Details

NPI number 1235436007
LBN Legal business name Wilson, Darla Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2011
Last updated Jan 30th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235436007 NPPES
Oklahoma MEDICAID 200359107A

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