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Pheriba Theresa Wilson
Counselor in Beverly Hills, Florida
NPI 1720769938

Pheriba Theresa Wilson is a Counselor based in Inverness, FL. Pheriba Theresa Wilson practices in Beverly Hills, FL. The NPI Number for Pheriba Theresa Wilson is 1720769938 and holds a License No. (Florida).

The current practice location address for Pheriba Theresa Wilson is 3404 N Lecanto Hwy, Beverly Hills, FL and can be reached out via phone at 352-419-4856.

Location: 3404 N Lecanto Hwy, Beverly Hills, FL, 34452-8166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720769938
Provider Name
Pheriba Theresa Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3404 N Lecanto Hwy, Beverly Hills, FL, 34452-8166
Phone Number
352-419-4856
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3404 N Lecanto Hwy
City
Beverly Hills
State
Florida
Zip
34465-3569
Phone Number
352-419-4856
Fax Number
person
Provider Business Mailing Address Details
Address
3404 N Lecanto Hwy
City
Beverly Hills
State
Florida
Zip
34465-3569
Phone Number
352-419-4856
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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