Organization
DIMENSIONS WELLNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWYLA L WILSON LPC (OWNER)
(601) 880-0888
Entity
Organization
Contact information
Practice address
1316 25TH AVE, MERIDIAN, MS 39301-3947
(601) 453-2505
Mailing address
5842 MOHAWK RD, MERIDIAN, MS 39305-1367
(601) 880-0888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008088394
—
MS
Enumeration date
08/07/2024
Last updated
08/07/2024
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