| Doctor Name: | NANCY B WILT |
| NPI Number: | 1043259344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | E0003423 |
| Business Practice Address: | 6449 Wilson Mills Road Mayfield Village, OH - 44143 |
| Business Phone Number: | 4404428800 |
| Business Fax Number: | 4404428804 |
| Mailing Address: | 6449 Wilson Mills Road, MAYFIELD VILLAGE |
| State: | OH |
| Postal Code: | 44143 |
| Phone Number: | 4404428800 |
| Fax Number: | 4404428804 |
| NPI Enumeration Date: | 06/05/2006 |
| NPI Last Update Date: | 10/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E0003423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |