Wilson, Simone
Wilson, Simone is an individual health care provider with primary practice located at 985 Steeplechase Ln , Riverdale GA 30296-2741. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilson, Simone can be contacted via phone (562) 619-6129.Contact Information
Primary practice address
985 Steeplechase Ln
Riverdale GA 30296-2741
Phone: (562) 619-6129
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1538752175 |
|---|---|
| LBN Legal business name | Wilson, Simone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2021 |
| Last updated | Feb 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538752175 | NPPES |
| Georgia | MEDICAID | 58-1430183 |
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