Provider Information for 1275286494
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
TINA E WILSON LCSW
Other Names:Former Name:TINA E BING LCSWSex: Female
NPI: 1275286494
Last Updated: 2022-01-28
Certification Date: 2022-01-28
Certification Date: 2022-01-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275286494 | ||||||||
| Enumeration Date | 2022-01-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 15801 ARTIST WAY APT 4209 ADDISON, TX 75001-6179 United States Phone: 817-201-5572 | Fax: | ||||||||
| Primary Practice Address | 15801 ARTIST WAY APT 4209 ADDISON, TX 75001-6179 United States Phone: 817-201-5572 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|