Luequayn Tae Wilson
Pastoral Counselor
3001 Aloma Ave # 219
Winter Park
, Florida 32792-3752
Luequayn Tae Wilson
Pastoral Counselor
3001 Aloma Ave # 219
Winter Park
, Florida 32792-3752
(407) 497-7409
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Luequayn Tae Wilson
- 3001 Aloma Ave # 219
- Winter Park, FL
- Zip : 32792-3752
- Phone : (407) 497-7409
Second Address
- Luequayn Tae Wilson
- 3001 Aloma Ave # 219
- Winter Park, FL
- Zip : 32792-3752
- Phone : (407) 497-7409
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Is Luequayn Tae Wilson a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | FL |
National Provider Identifier
| NPI | 1366979643 |
|---|---|
| Provider Name | Luequayn Tae Wilson |
| First Address | Winter Park, FL 32792-3752 |
| Second Address | Winter Park, FL 32792-3752 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2017 |
| Last Update Date | 17/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2017051710580007 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.