Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIE WILSON
Active Sole ProprietorMARIE WILSON is a Mental Health Clinic healthcare provider located in SAINT LOUIS, Missouri. NPI 1174110142 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1174110142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 24, 2020 (5.6751919446837 yrs)
- Last Updated
- Jul 15, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1430 OLIVE STSAINT LOUIS, MO, 631032360Browse MO providers · Browse ZIP 63103
- Phone
- 3142063700
- Fax
- 3145354394
- Primary Specialty
-
Mental Health Clinic
261QM0801X
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.