Shane Wilson's National Provider Identifier (NPI) Details
Shane Wilson, MS, LMHC
NPI: 1164182135
Enumeration Date: 2021-12-17
Last updated: 2021-12-17
Sole Proprietor: YES
Status: active
Postal Address: 7777 SW 86 ST BLDG F1, APT 212, MIAMI, FL
Phone: 786-444-1735
Primary Practice Address: 7777 SW 86 ST BLDG F1, APT 212, MIAMI, FL
Practice's phone: 786-444-1735