Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONY WILSON
Active Sole ProprietorEBONY WILSON is a Emotionally Disturbed Children Residential Treatment healthcare provider located in SAINT LOUIS, Missouri. NPI 1013334622 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1013334622
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2014 (12.449472642342 yrs)
- Last Updated
- Mar 20, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
3514 BLAIR AVESAINT LOUIS, MO, 631073717Browse MO providers · Browse ZIP 63107
- Phone
- 3142160088
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Other Emotionally Disturbed Children Residential Treatment Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DONALD SCALES | — | 1871914515 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.