Organization
SHALOM MENTAL HEALTH AND WELLNESS INC
Active
Other names
Shalom Mental Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE L WILKINSON DNP, APRN, PMHNP-BC (OWNER OF ENTITY)
(305) 284-4656
Entity
Organization
Contact information
Practice address
3157 N UNIVERSITY DR, HOLLYWOOD, FL 33024-2258
(195) 484-9480
Mailing address
18581 SW 44TH ST, MIRAMAR, FL 33029-6215
(954) 849-4800
(954) 322-8981
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116663188
116663188
FL
Enumeration date
09/14/2020
Last updated
06/10/2022
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