Provider Demographics
NPI:1851983928
Name:WILSON SISTERS, LLC
Entity Type:Organization
Organization Name:WILSON SISTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KARRI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOJAEI-SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-722-3892
Mailing Address - Street 1:401 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3615
Mailing Address - Country:US
Mailing Address - Phone:972-722-3892
Mailing Address - Fax:214-602-2729
Practice Address - Street 1:2302 JOE RAMSEY BLVD E STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-6474
Practice Address - Country:US
Practice Address - Phone:903-453-8050
Practice Address - Fax:214-602-2729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty