Wilson, David Leroy
Wilson, David Leroy is an sole proprietor health care provider with primary practice located at 975 N Bardstown Rd , Mount Washington KY 40047-7602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Wilson, David Leroy can be contacted via phone (502) 822-6861.Contact Information
Primary practice address
975 N Bardstown Rd
Mount Washington KY 40047-7602
Phone: (502) 822-6861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Indiana | |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 2012-012 | Kentucky |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 167720 | Kentucky |
Profile Details
| NPI number | 1760822381 |
|---|---|
| LBN Legal business name | Wilson, David Leroy |
| Credentials | LMFT, M.DIV. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2013 |
| Last updated | Oct 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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