Provider Demographics
NPI:1730486713
Name:WILSON, FRANCHESTA MERRITT (LPC)
Entity Type:Individual
Prefix:MRS
First Name:FRANCHESTA
Middle Name:MERRITT
Last Name:WILSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 E VERNOR HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-2461
Mailing Address - Country:US
Mailing Address - Phone:240-463-2055
Mailing Address - Fax:
Practice Address - Street 1:30701 WOODWARD AVE STE 200
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0990
Practice Address - Country:US
Practice Address - Phone:248-824-2529
Practice Address - Fax:248-288-1362
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1700101YP2500X
MI6401016525101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional