Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TONYA WILHELM, LICSW
Active Sole ProprietorTONYA WILHELM, LICSW is a Mental Health Clinic healthcare provider located in PRIOR LAKE, Minnesota. NPI 1245619014 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · PRIOR LAKE, MN
Registration Details
- NPI Number
- 1245619014
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2015 (11.032295147585 yrs)
- Last Updated
- Nov 24, 2023
- License
-
21746 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16228 MAIN AVE SE STE 109PRIOR LAKE, MN, 553721789Browse MN providers · Browse ZIP 55372
- Phone
- 6124188697
- Fax
- 8883084056
- 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.