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Organization
WILSON WELLNESS GROUP, LLC
Active
Organization
WILSON WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL WILSON LMFT (OWNER/LICENSED THERAPIST)
(754) 999-0410
Entity
Organization
Contact information
Practice address
7301 N UNIVERSITY DR STE 209, TAMARAC, FL 33321-2935
(754) 999-0410
Mailing address
4750 NW 5TH PL, COCONUT CREEK, FL 33063-6742
(954) 554-3423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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