Individual
BILLIE NICOLE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
106 BELINDA BLVD, DANVILLE, KY 40422-3217
(866) 755-4258
Mailing address
106 BELINDA BLVD, DANVILLE, KY 40422-3217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
174900
KY
101YP2500X
Professional Counselor
174900
KY
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100496630
—
KY
01
—
CS2028300325
CARESOURCE
KY
Enumeration date
08/25/2010
Last updated
09/17/2025
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