RENEE TANYA WILSON MA, LLPC
NPI 1417308909
Counselor - Mental Health in Detroit, MI

Q: What is Renee Wilson's NPI number?

The NPI number for Renee Wilson is 1417308909. It was assigned to this individual provider in the NPPES registry on June 26, 2016.

Q: What is Renee Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Renee Wilson was last updated on June 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 26, 2016

5535 HARVARD RD, DETROIT, MI 48224(313) 434-0163 Get Directions Write a Review

NPPES record last updated: June 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Renee Tanya Wilson Ma, Llpc NPPES

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

RENEE TANYA WILSON MA, LLPC (NPI 1417308909) is an individual mental health provider in Detroit, Michigan, licensed in Michigan (6401014386) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1417308909

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRENEE TANYA WILSONCredential: MA, LLPC

Location Address5535 HARVARD RDDetroit, MI 48224-2163

Mailing Address5535 Harvard RdDetroit, MI 48224-2163 · (313) 434-0163

Phone(313) 434-0163

Sole ProprietorYes

Enumeration DateJune 26, 2016

✔ NPI 1417308909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6401014386

5535 HARVARD RD, Detroit, MI 48224

Open in Google Maps ↗

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 Renee Wilson's NPI number?

The NPI number for Renee Wilson is 1417308909. It was assigned to this individual provider in the NPPES registry on June 26, 2016.

Where is Renee Wilson located?

Renee Wilson practices at 5535 Harvard Rd, Detroit, MI 48224. The listed phone number is (313) 434-0163.

What is Renee Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Renee Wilson was last updated on June 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.