| Doctor Name: | MS. BEVERLY WILUSZ |
| NPI Number: | 1235198060 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH0002007 |
| Business Practice Address: | 228 Brooks St Se Suite A Ft Walton Beach, FL - 32548 |
| Business Phone Number: | 8503010446 |
| Business Fax Number: | |
| Mailing Address: | Po Box 846, FT WALTON BEACH |
| State: | FL |
| Postal Code: | 32549 |
| Phone Number: | 8503010446 |
| Fax Number: | 8503010442 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH0002007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |