Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coraleen Y Wilson, LLPC

Individual provider Professional Counselor · NPI 1780294868

Coraleen Y Wilson, LLPC is a Mental Health Counselor in Southfield, Michigan. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020

Practice location Address checks out

24445 Northwestern Hwy
Southfield, MI 48075-6501
Phone: (248) 242-5545
Fax: (248) 450-0582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6401226225 (MI)

Record details

NPI number1780294868
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLPC
Sole proprietorYes
NPI enumeratedAugust 4, 2020
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address18726 S Western Ave Ste 408, Gardena, CA 90248-3858

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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