MEDICARE: RHONDA WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	99767	TX

General Provider Information

NPI Number	:	1447112057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA WILSON

Provider Business Mailing Address
First Line	:	2201 W OREM DR APT 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-4741
Country	:	US
Telephone Number	:	281-701-5973
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 W OREM DR APT 232
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77047-4741
Country	:	US
Telephone Number	:	281-701-5973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ RHONDA WILSON ” Practice Location

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