MS. PATRICIA BONNER WALLACE (NPI# 1033393780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033393780 |
Entity Type | Individual |
Full Name | MS. PATRICIA BONNER WALLACE |
Credential | MN, APRN, BC |
Practice Address |
823 Evans St Greenville NC 27834-3267 |
Mailing Address |
Po Box 8429 Greenville NC 27835-8429 |
Practice Telephone | 2527584400 |
Practice Fax Number | 2527524197 |
Mailing Telephone | 2527584400 |
Mailing Fax Number | 2527524197 |
Enumeration Date | 2007-12-18 |
Last Update Date | 2008-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
45499 | NC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922434091 | Patricia J Wallace | Hearing Instrument Specialist | 1 Chesterfield Mall, Chesterfield, MO 63017-4807 | 2013-09-20 |
1043336704 | Patricia Irene Wallace | Counselor | 104 N 4th St, Hugo, OK 74743-4003 | 2007-03-22 |
1730683301 | Patricia Sue Wallace | Nurse Practitioner | 106 Market Place Cir, Georgetown, KY 40324-7400 | 2018-03-20 |
1548762958 | Patricia E. Wallace | Counselor | 3365 W Craig Rd Ste 25, North Las Vegas, NV 89032-5127 | 2018-03-01 |
1538606744 | Patricia Wallace | Occupational Therapist | 1755 Wittington Pl Ste 175, Dallas, TX 75234-1905 | 2017-01-25 |
1215398722 | Patricia Wallace | Marriage & Family Therapist | 901 N Pacific Coast Hwy, Suite 200a, Redondo Beach, CA 90277-2162 | 2016-03-10 |
1447553300 | Patricia A Wallace | Counselor | 450 Rosewood Ave, Suite215, Camarillo, CA 93010-5914 | 2010-12-15 |
1164750741 | Patricia Wallace | Occupational Therapist | 1818 W Worley St, Columbia, MO 65203-1038 | 2009-11-19 |
1174771281 | Patricia M Wallace | Acupuncturist | 217 1st St, Neptune Beach, FL 32266-6145 | 2008-09-03 |
1861605719 | Patricia Wallace | Psychologist | 16000 W 9 Mile Rd, Suite 615, Southfield, MI 48075-4808 | 2007-05-08 |
Street Address |
823 EVANS ST |
City | GREENVILLE |
State | NC |
Zip Code | 27834-3267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487789137 | Family Violence Program, Inc. of Pitt County | Counselor | 823 Evans St, Greenville, NC 27834-3267 | 2007-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
Find all providers in zip 27834 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951818 | Infuse Counseling Pllc | Counselor | 235 Commerce St Ste 3, Greenville, NC 27858-9965 | 2020-08-08 |
1427671817 | Lauren Gordon | Counselor | 2411 Wesley St Ste 303, Greenville, TX 75401-3368 | 2020-05-20 |
1902426927 | Kristy Nicole Wood | Counselor | 114 Cherry Ct Apt D, Greenville, NC 27858-4274 | 2020-04-20 |
1578192936 | Magnolia Health & Wellness | Counselor | 211 Commerce St Ste C, Greenville, NC 27858-5030 | 2020-04-06 |
1093354482 | Another Way Counseling, LLC | Counselor | 202 Tanner Chase Way, Greenville, SC 29607-6402 | 2020-01-02 |
1073157913 | A Soothing & Comforting Touch, Inc | Counselor | 301 Airport Rd Ste E, Greenville, SC 29607-2610 | 2019-11-04 |
1073178992 | Chameka Konswela Duncan | Counselor | 126 Wild Dogwood Way, Greenville, SC 29605-5966 | 2019-05-06 |
1679137269 | Youth Full Innovations of The Carolina's, LLC | Counselor | 151 Commons Way Ste C1, Greenville, SC 29611-3850 | 2019-04-29 |
1851955165 | Crew Case Management and Consulting Services South LLC | Counselor | 210 W Stone Ave Ste Lr1, Greenville, SC 29609-5493 | 2019-04-23 |
1437610789 | Positive Directions, LLC | Counselor | 25 Woods Lake Rd Ste 321, Greenville, SC 29607-2762 | 2019-03-28 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 27834 |
Please comment or provide details below to improve the information on MS. PATRICIA BONNER WALLACE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.