Lakeisha Wilson, is a
Health & Wellness Coach based in Lawrenceville, Georgia. Lakeisha Wilson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2775 Cruse Rd Ste 601, Lawrenceville, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 744-1740.
NPI number for Lakeisha Wilson is 1700683026 and her current mailing address is 2440 Wisteria Dr Unit 769, Snellville, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700683026.
Healthcare Provider's Profile
Full Name | Lakeisha Wilson |
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Gender | Female |
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Speciality | Health & Wellness Coach |
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Location | 2775 Cruse Rd Ste 601, Lawrenceville, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700683026
- Provider Enumeration Date: 02/25/2025
- Last Update Date: 02/25/2025
Medical Identifiers
Medical identifiers for Lakeisha Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700683026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
171400000X | Health & Wellness Coach | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lakeisha Wilson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lakeisha Wilson, 2440 Wisteria Dr Unit 769, Snellville, GA 30078-1967 Ph: (770) 744-1740 | Lakeisha Wilson, 2775 Cruse Rd Ste 601, Lawrenceville, GA 30044-7142 Ph: (770) 744-1740 |
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