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SHALIAH DEAISJA MONTEIA WILSON
NPI 1902755671
Counselor - Addiction (Substance Use Disorder) in Myrtle Beach, SC

Active since January 26, 2026
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579(866) 850-6585 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shaliah Deaisja Monteia Wilson NPPES

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

SHALIAH DEAISJA MONTEIA WILSON (NPI 1902755671) is an individual addiction (substance use disorder) provider in Myrtle Beach, South Carolina and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1902755671
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHALIAH DEAISJA MONTEIA WILSON
Location Address104 GEORGE BISHOP PKWYMyrtle Beach, SC 29579-7335
Mailing Address7218 Broomstraw CtNichols, SC 29581-6208 · (866) 850-6585
Phone(866) 850-6585
Sole ProprietorNo
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1902755671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
104 GEORGE BISHOP PKWY, Myrtle Beach, SC 29579
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Other Providers at the Same Location NPPES 20

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

MIA MONIQUE FLOYD RPHT
Pharmacy Technician
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (800) 805-6989
LADAYSHA BONAPARTE
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (800) 805-6989
PETER ZAWASKI CAC II
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
SUSAN GRUBBS LPN
Licensed Practical Nurse
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
SEAN PATRICK HATFIELD
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
LOREN ORLANDO SEDA MS, CAC-P
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
MRS. ELIZABETH ANNE NUTTING ME.D, ADC-IP
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 492-2268
CAITLYN OLIVIA BAKER
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (518) 469-9241

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 Shaliah Wilson's NPI number?

The NPI number for Shaliah Wilson is 1902755671. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Shaliah Wilson located?

Shaliah Wilson practices at 104 George Bishop Pkwy, Myrtle Beach, SC 29579. The listed phone number is (866) 850-6585.

What is Shaliah Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shaliah Wilson was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.