Individual provider · Type 1 NPI

Takisha Wilson, LGPC

Mental Health Counselor · Bowie, MD

NPI number 1003579764 Active

Practice location

2714 Princess Victoria Way
Bowie, MD 20721-2439

Call (201) 341-0153 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC16674 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1003579764

Takisha Wilson, LGPC's National Provider Identifier is 1003579764, issued on Oct 20, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowie, MD. The record was last updated on Dec 30, 2025.