Healthcare Provider Details

I. General information

NPI: 1750227369
Provider Name (Legal Business Name): ABIGAIL WILKERSON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 N COURT ST
CIRCLEVILLE OH
43113-1087
US

IV. Provider business mailing address

1555 N COURT ST
CIRCLEVILLE OH
43113-1087
US

V. Phone/Fax

Practice location:
  • Phone: 740-500-4460
  • Fax: 740-870-2909
Mailing address:
  • Phone: 740-500-4460
  • Fax: 740-870-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS.2207906
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: