Provider Demographics
NPI:1942077581
Name:MUHAMMAD WILKINSON, SERYNA V (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:SERYNA
Middle Name:V
Last Name:MUHAMMAD WILKINSON
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3446 N COOK RD
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1170
Mailing Address - Country:US
Mailing Address - Phone:470-296-3345
Mailing Address - Fax:
Practice Address - Street 1:3446 N COOK RD
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1170
Practice Address - Country:US
Practice Address - Phone:267-975-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1252518101YS0200X
GALPC014304101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool