Individual provider · Type 1 NPI

Jerisha Wilson, RCSWI, LMSW

Mental Health Counselor · Port St. Lucie, FL

NPI number 1538025192 Active

Practice location

540 NW University Blvd Ste 204
Port St. Lucie, FL 34986-2281

Call (772) 494-7770 Map

Mailing address

2350 Phillips Rd Apt 1106
Tallahassee, FL 32308-5346

Other practice locations

  • 2350 Phillips Rd Apt 1106, Tallahassee, FL 32308-5346 · (423) 463-9269

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13192 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1538025192

Jerisha Wilson, RCSWI, LMSW's National Provider Identifier is 1538025192, issued on Dec 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 29, 2025.