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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COREY KAREEN WILSON

Active Sole Proprietor

COREY KAREEN WILSON is a Behavioral Health, Residential healthcare provider located in LEESBURG, Florida. NPI 1326792391 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · LEESBURG, FL

Registration Details

NPI Number
1326792391
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2022 (4.5391163554938 yrs)
Last Updated
Feb 9, 2022
Sole Proprietor
Yes

Practice Information

Address
908 GEORGIA AVE
LEESBURG, FL, 347483706
Browse FL providers · Browse ZIP 34748
Phone
9732897813
Primary Specialty
Behavioral Health, Residential
251C00000X

Other Behavioral Health, Residential Providers in LEESBURG, FL

Name Credential NPI
STEPHANIE BROWN 1811354574
CHANTRESS POOLE 1003341199
BRIANNE GASTON 1326817065
DAVID VENDRYES 1962214718
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.