DEVETTA SHAUNTA WILSON LCPC
NPI 1033877618
Counselor - Professional in Elkridge, MD

Q: What is Devetta Wilson's NPI number?

The NPI number for Devetta Wilson is 1033877618. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Q: What is Devetta Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Devetta Wilson was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2021

6030 MARSHALEE DR STE M114, ELKRIDGE, MD 21075(443) 591-0202 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2023, Dec 1, 2021 (2 updates tracked since 2021).

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About Devetta Shaunta Wilson Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEVETTA SHAUNTA WILSON LCPC (NPI 1033877618) is an individual professional provider in Elkridge, Maryland, licensed in Maryland (LC14542) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1033877618

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDEVETTA SHAUNTA WILSONCredential: LCPC

Location Address6030 MARSHALEE DR STE M114Elkridge, MD 21075-5987

Mailing Address414 Howard Manor DrGlen Burnie, MD 21060-8260 · (443) 591-0202

Phone(443) 591-0202

Sole ProprietorYes

Enumeration DateDecember 1, 2021

Last NPPES UpdateMarch 19, 20242 updates tracked since enumeration

NPPES CertifiedMarch 19, 2024

✔ NPI 1033877618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC14542

6030 MARSHALEE DR STE M114, Elkridge, MD 21075

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILSON WELLNESS CENTER, LLC

Counselor (Professional)

6030 MARSHALEE DR STE M114
ELKRIDGE, MD 21075

Howard County (443) 591-0202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devetta Wilson's NPI number?

The NPI number for Devetta Wilson is 1033877618. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Devetta Wilson located?

Devetta Wilson practices at 6030 Marshalee Dr Ste M114, Elkridge, MD 21075. The listed phone number is (443) 591-0202.

What is Devetta Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Devetta Wilson was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.