Wilson, Susan M

Wilson, Susan M is an individual health care provider with primary practice located at 2616 Langhorne Rd Ste 1, Lynchburg VA 24501-1604. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wilson, Susan M can be contacted via phone (434) 847-8300.

Contact Information

Primary practice address
2616 Langhorne Rd Ste 1 Lynchburg VA 24501-1604
Fax: (434) 847-8962
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701002848 Virginia

Profile Details

NPI number 1922100262
LBN Legal business name Wilson, Susan M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922100262 NPPES
Virginia Other 236395 ANTHEM
Virginia Other 473073 ANTHEM

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