Provider Demographics
NPI:1831449586
Name:WILKINS, MARY F (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:F
Last Name:WILKINS
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:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-0591
Mailing Address - Country:US
Mailing Address - Phone:803-394-5323
Mailing Address - Fax:803-779-7881
Practice Address - Street 1:600 OLD LEXINGTON HWY
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-7978
Practice Address - Country:US
Practice Address - Phone:803-394-5323
Practice Address - Fax:803-779-7881
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health