Individual ProviderCarrie L WilsonCounselorBehavioral Health & Social Service ProvidersPractice Address1121 Nikki View Dr, Brandon, FL 33511-4879(813) 685-9916PECOS EnrollmentBased on the most recent information from CMS, provider Carrie L Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:06 AM.Profile DetailsProvider ID1922179118Provider TypeIndividualFull NameWilson, Carrie LCredentialMA, LMHCGenderFemaleSole ProprietorYesEnumeration Date11/11/2006Last Updated4/12/2017Contact InformationPractice LocationPractice Address1121 Nikki View Dr, Brandon, FL 33511-4879Phone(813) 685-9916Fax(813) 657-1049Mailing LocationMailing Address1121 Nikki View Dr, Brandon, FL 33511-4879Phone(813) 685-9916Fax(813) 657-1049Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMH4662Florida