Individual provider · Type 1 NPI
Kimberly Lackey Wilson, RMHCI
Mental Health Counselor · Tampa, FL
NPI number
1295600724
Active
Practice location
3502 Henderson Blvd Ste 229
Tampa, FL 33609-3999
Mailing address
701 S Howard Ave # 106-137
Tampa, FL 33606-2473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH28150 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1295600724
Kimberly Lackey Wilson, RMHCI's National Provider Identifier is 1295600724, issued on Oct 6, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tampa, FL. The record was last updated on Oct 6, 2025.