National Provider Identifier
Tina Wilson, LMHC
Tina Wilson, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cuba, NY and a listed phone number of (716) 968-2004.
Profile Overview
- NPI
- 1497295067
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 02, 2017
- Last Updated
- March 19, 2024
Practice Location
- 17 South St
- Cuba, NY 14727-1215
Phone: (716) 968-2004
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1497295067
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Tina
- Credential
- LMHC
- Mailing Street Address
- 17 South St
- Mailing City
- Cuba
- Mailing State
- NY
- Mailing ZIP Code
- 14727-1215
- Mailing Country
- US
- Mailing Phone
- (716) 968-2004
- Practice Street Address
- 17 South St
- Practice City
- Cuba
- Practice State
- NY
- Practice ZIP Code
- 14727-1215
- Practice Country
- US
- Practice Phone
- (716) 968-2004
- Enumeration Date
- March 02, 2017
- Last Updated
- March 19, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)