Individual provider · Type 1 NPI

Pheriba Theresa Wilson

Counselor · Beverly Hills, FL

NPI number 1720769938 Active

Practice location

3404 N Lecanto Hwy
Beverly Hills, FL 34465-3569

Mailing address

6005 E Willow St
Inverness, FL 34452-8166

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720769938

Pheriba Theresa Wilson's National Provider Identifier is 1720769938, issued on Jul 31, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Beverly Hills, FL. The record was last updated on Jul 31, 2023.