Healthcare Provider Details

I. General information

NPI: 1679492128
Provider Name (Legal Business Name): WILHELM PSYCHOLOGICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 W HAMPTON ST
STAUNTON VA
24401-4600
US

IV. Provider business mailing address

204 W HAMPTON ST
STAUNTON VA
24401-4600
US

V. Phone/Fax

Practice location:
  • Phone: 540-324-2625
  • Fax:
Mailing address:
  • Phone: 540-324-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: HELEN HOLZ
Title or Position: CONTRACTING
Credential:
Phone: 757-592-8145