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Contact Information

TIYAHRI C WILSON, M.S.
1619 18TH AVE
GULFPORT, MS39501-2131
 Phone: 832-245-9910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for TIYAHRI C WILSON · (Female)

NPI Number 1679011324
Status Active
Credentials M.S.
Entity Individual
Enumeration date 02/02/2017
Last updated 11/13/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 800024708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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