Female

Pheriba T. Wilson

Counselor in Beverly Hills, FL(View on Map)

Full Name

Pheriba Theresa Wilson

NPI Number

1720769938

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/31/2023

Specialties

(Taxonomies)

Code

101Y00000X
101YM0800X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

6005 E WILLOW ST
3404 N LECANTO HWY

City

Inverness
Beverly Hills

State

FL
FL

Postal Code

34452-8166
34465-3569

Country

US
US

Telephone Number

(352) 560-1226
(352) 419-4856

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/31/2023

Provider Address

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