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

ISHALON SHANQUELL SIEDAH WILSON, LMHC, LPC

Active Sole Proprietor

ISHALON SHANQUELL SIEDAH WILSON, LMHC, LPC is a Professional Counselor healthcare provider located in PORT ST LUCIE, Florida. NPI 1750126470 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PORT ST LUCIE, FL

Registration Details

NPI Number
1750126470
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2024 (2.1557571722887 yrs)
Last Updated
Jan 20, 2026
Licenses
MH23967 (FL)
99718 (TX)
Sole Proprietor
Yes

Practice Information

Address
4090 SW JAQUST ST
PORT ST LUCIE, FL, 349535626
Browse FL providers · Browse ZIP 34953
Phone
8506310977
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in PORT ST LUCIE, FL

Name Credential NPI
LINDA SERAPHIN 1982861415
ANN MAREE WITTOCK-BROWN 1427388479
CLARA HESSING 1932649498
JACQUELINE MARIE TOBIAS MSW, RCSWI, MCAP 1801787692
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.