Individual provider · Type 1 NPI

Ladarius Markel Wilcox

Addiction (Substance Use Disorder) Counselor · Clearwater, FL

NPI number 1689505307 Active

Practice location

13700 58th St N Ste 209
Clearwater, FL 33760-3757

Call (727) 223-6454 Map

Mailing address

13700 58th St N Unit 209
Clearwater, FL 33760-3757

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XW238267138000 (FL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689505307

Ladarius Markel Wilcox's National Provider Identifier is 1689505307, issued on May 29, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearwater, FL. The record was last updated on May 29, 2026.