Individual provider · Type 1 NPI
Sheila Wilson
Addiction (Substance Use Disorder) Counselor · Mount Dora, FL
NPI number
1063803575
Active
Practice location
5651 Alenlon Way
Mount Dora, FL 32757-8041
Mailing address
105 Roth Ct
Fort Knox, KY 40121-3507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN5206429 (FL) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | MCAP.0101036 (FL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1063803575
Sheila Wilson's National Provider Identifier is 1063803575, issued on Feb 5, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Dora, FL. The record was last updated on May 28, 2025.