| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KALYN DANIELLE WILSON | 1093314478 | 2020-10-18 |
Kalyn Danielle Wilson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093314478. Registration indicates Kalyn Danielle Wilson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Kalyn Danielle Wilson LCSW |
| Practice Office Address | 5193 PEACHTREE BLVD APT 3405 ATLANTA, GA US |
| Practice Office Telephone | 6783132790 |
| Mailing Address | 3631 CHAMBLEE TUCKER RD UNIT 941655 ATLANTA, GA 311415029 US |
| Business Telephone | 6789577691 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1420 Ridgebend Way SE | Mableton, GA 301263643 | 4049051344 |
| 26 Eagle Row NE | Atlanta, GA 303223643 | 4047276714 |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | CSW008278
GA |