Mrs Shirley Jo Wilson, LPC is a
Counselor based in Manitou Beach, Michigan. Mrs Shirley Jo Wilson is licensed to practice in Michigan (license number ) and her current practice location is
765 Manitou Road, Lakeview Counseling Center, Manitou Beach, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 403-4950.
NPI number for Mrs Shirley Jo Wilson is 1780828699 and her current mailing address is 5088 Townley Hwy, Manitou Beach, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780828699.
Healthcare Provider's Profile
Full Name | Mrs Shirley Jo Wilson |
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Gender | Female |
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Speciality | Counselor |
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Location | 765 Manitou Road, Manitou Beach, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780828699
- Provider Enumeration Date: 04/22/2009
- Last Update Date: 06/18/2013
Medical Identifiers
Medical identifiers for Mrs Shirley Jo Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780828699 | NPI | - | NPPES |
12550792 | Other | MI | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Michigan) | 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. Mrs Shirley Jo 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 |
Mrs Shirley Jo Wilson, LPC 5088 Townley Hwy, Manitou Beach, MI 49253-9784 Ph: (517) 403-4950 | Mrs Shirley Jo Wilson, LPC 765 Manitou Road, Lakeview Counseling Center, Manitou Beach, MI 49253 Ph: (517) 403-4950 |
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