MRS. WINDY J EZZELL


Address: 1133 Military Cutoff Rd Ste 210, Wilmington, NC 28405-4400
Phone: 9102563784

MRS. WINDY J EZZELL (NPI# 1063444693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063444693
Entity Type Individual
Full Name MRS. WINDY J EZZELL
Credential MA, LPC
Practice Address 1133 Military Cutoff Rd Ste 210
Wilmington
NC 28405-4400
Practice Telephone 9102563784
Practice Fax Number 9102563787
Mailing Telephone 9102563784
Mailing Fax Number 9102563787
Enumeration Date 2006-07-06
Last Update Date 2019-02-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
3272 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS OF NC GROUP NUMBER 015PF 01
NC BCBS OF NC 132PM 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
5009 Wrightsville Ave # A, Wilmington, NC 284037045 9107915575

Office Location

Street Address 1133 MILITARY CUTOFF RD STE 210
City WILMINGTON
State NC
Zip Code 28405-4400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467964916 Heily Aktuglu-mcgowan Counselor 1133 Military Cutoff Rd Ste 210, Wilmington, NC 28405-4400 2017-10-24

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1770190324 Brittany B Greer Counselor 2002 Eastwood Rd Ste 305, Wilmington, NC 28403-7202 2020-09-28
1518578798 Joseph Anthony Cincotta Counselor 3411 Silverside Rd Ste 206, Wilmington, DE 19810-4806 2020-08-12
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1871117911 Marcia R. Winter Counselor 402 Foulk Rd Apt 2c8, Wilmington, DE 19803-5805 2020-06-04
1649804634 Jacqueline R Kairis Counseling Counselor 3411 Silverside Rd Bldg Ste 109, Wilmington, DE 19810-4812 2020-02-27
1043856461 Janice L Ward Counselor 2357 Patwynn Rd, Wilmington, DE 19810-2752 2019-11-20
1679045462 Darlene Watkins Counselor 106 W 35th St Bldg 2, Wilmington, DE 19802-2707 2018-12-18
1447729876 Charles Barden Counselor 7004 Hallstead Ct, Wilmington, NC 28411-1067 2018-11-14
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Competitor

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City WILMINGTON
Zip Code 28405

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Dataset Information

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.

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