Individual provider · Type 1 NPI
Consuela Tangulia Wilds-Lewis, MS, LPC, NCC
Professional Counselor · Augusta, GA
NPI number
1942713664
Active
Practice location
823 Broad St Fl 1
Augusta, GA 30901-1214
Fax (706) 925-9855
Mailing address
3800 Blue Springs Trce
Evans, GA 30809-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC10860 (SC) |
| Mental Health Counselor | 101YM0800X | LPC010923 (GA) |
| Professional Counselor | 101YP2500X | LPC10860 (SC) |
| Community/Behavioral Health Agency | 251S00000X | 005087 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC010923 (GA) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1942713664
Consuela Tangulia Wilds-Lewis, MS, LPC, NCC's National Provider Identifier is 1942713664, issued on Nov 16, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Aug 15, 2025.