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

Takisha Wilson, LGPC

Individual provider Mental Health Counselor · NPI 1003579764

Takisha Wilson, LGPC is a Mental Health Counselor in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

2714 Princess Victoria Way
Bowie, MD 20721-2439
Phone: (201) 341-0153
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC16674 (MD)

Record details

NPI number1003579764
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorYes
NPI enumeratedOctober 20, 2021
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

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