TYQUINE WILSON
NPI 1891168134
Counselor - Professional in Lithonia, GA
About Tyquine Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYQUINE WILSON (NPI 1891168134) is an individual professional provider in Lithonia, Georgia and active in the NPI registry since November 2015.
NPPES Registry Identity
Specialties & Licenses
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 Tyquine Wilson's NPI number?
The NPI number for Tyquine Wilson is 1891168134. It was assigned to this individual provider in the NPPES registry on November 9, 2015.
Where is Tyquine Wilson located?
Tyquine Wilson practices at 6382 Laurel Green Dr, Lithonia, GA 30058. The listed phone number is (404) 647-9756.
What is Tyquine 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 Tyquine Wilson was last updated on November 9, 2015. 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.
# Tyquine Wilson · NPI 1891168134
Professional provider in Lithonia, Georgia. Individual provider, active in the CMS NPPES registry since November 9, 2015.
## Identity
- **NPI:** 1891168134 (Entity type: Individual)
- **Enumerated:** November 9, 2015
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6382 LAUREL GREEN DR, Lithonia, GA 30058-3111
- **Phone:** (404) 647-9756
## Record status
- **NPPES last updated:** November 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1891168134) · Data from the CMS NPPES public registry.