Wilson, Simone

Wilson, Simone is an individual health care provider with primary practice located at 20411 W 12 Mile Rd Ste 101 , Southfield MI 48076-6404. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wilson, Simone can be contacted via phone (866) 703-1901.

Contact Information

Primary practice address
20411 W 12 Mile Rd Ste 101 Southfield MI 48076-6404
Phone: (866) 703-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801102161 Michigan

Profile Details

NPI number 1518317890
LBN Legal business name Wilson, Simone
Credentials MSW, LLMSW, CAADC-DP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Aug 6th, 2019 - about 7 years ago

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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