# TONYIA WILSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Merriheart Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518372812
- **Authorized official:** MS. TONYIA WILSON LPC (OWNER/CEO)
- **Authorized official phone:** (229) 548-8591

## Contact information

- **Practice address:** 101 S MAPLE ST, ADEL, GA 31620-2632
- **Practice address phone:** (229) 548-8591
- **Mailing address:** PO BOX 142, SPARKS, GA 31647-0142
- **Mailing address phone:** (229) 548-8591
- **Mailing address fax:** (229) 549-7906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 007793 | GA | Yes |

## Other

- **Enumeration date:** 06/25/2014
- **Last updated:** 06/25/2014