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

Shaliah Deaisja Monteia Wilson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902755671

Shaliah Deaisja Monteia Wilson is an Addiction (Substance Use Disorder) Counselor in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2026.

Licensed in
SC
In the registry since
2026

Practice location Address checks out

104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335
Phone: (866) 850-6585
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (SC)

Record details

NPI number1902755671
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2026
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

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