MRS. LYNETTE LA'SHAWN WILSON (NPI# 1083964555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083964555 |
| Entity Type | Individual |
| Full Name | MRS. LYNETTE LA'SHAWN WILSON |
| Practice Address |
2408 Mallory Ln Lancaster TX 75134-1975 |
| Practice Telephone | 9722243440 |
| Mailing Telephone | 9722243440 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080579802 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255753794 | Lynette Wilson | Marriage & Family Therapist | 866 Country Lane Dr, Mc Gregor, TX 76657-9735 | 2014-01-17 |
| Street Address |
2408 MALLORY LN |
| City | LANCASTER |
| State | TX |
| Zip Code | 75134-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553369 | Step of Faith | Community/Behavioral Health | 1413 Prescott Dr, Lancaster, TX 75134 | 2018-06-25 |
| 1376042689 | Brittainye Danielle Isaac | Physical Therapy Assistant | 2029 Woodmere Dr, Lancaster, TX 75134 | 2018-02-02 |
| 1881943991 | Ieaisha Shavette Garrett | Technician | 1406 Vermont, Lancaster, TX 75134 | 2012-09-05 |
| 1497020374 | Donna Sitting Service LLC | Point of Service | 822 Lexington Drive, Lancaster, TX 75134 | 2012-03-12 |
| 1720362718 | Monica Renea Gray | Social Worker | 2805 Yellow Rose Lane, Lancaster, TX 75134 | 2011-10-07 |
| 1629358924 | Robert Mcelroy | Pharmacist | 2962 S. Longhorn Dr., Cmop Dallas, Lancaster, TX 75134 | 2011-08-18 |
| 1568014314 | Belen Maria Castillo | Counselor | 4444 Percy St, Lancaster, TX 75134-1434 | 2019-07-11 |
| 1942508601 | Partners In Grace | Clinic/Center | 3241 Danieldale Rd, Lancaster, TX 75134-1519 | 2011-03-04 |
| 1033390604 | Wanda Davenport Odibo | Counselor | 1431 Daisy Dr, Lancaster, TX 75134-1635 | 2007-11-23 |
| 1265914105 | Larresha Lee | Licensed Practical Nurse | 3032 Crimson Clover Dr, Lancaster, TX 75134-1637 | 2018-09-06 |
| Find all providers in zip 75134 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491461 | Rhyllis Christopher | Counselor | 246 High Street Ext Unit 1, Lancaster, MA 01523-2186 | 2020-09-10 |
| 1740803337 | Mmm Healthcare LLC | Counselor | 1499 Lynwood Dr Ste D, Lancaster, SC 29720-0964 | 2020-05-19 |
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1669006656 | Daryl James Clemens | Counselor | 3250 W Avenue J6 Apt 24, Lancaster, CA 93536-6146 | 2020-02-27 |
| 1699305078 | Wendy Gail Gaunt | Counselor | 143 N Pine St, Lancaster, PA 17603-3458 | 2020-01-24 |
| 1386280055 | Jessica Ann Port | Counselor | 1831 Lititz Pike, Lancaster, PA 17601-6501 | 2019-11-18 |
| 1629620851 | Campus Wellness Partners | Counselor | 313 W Liberty St Ste 350, Lancaster, PA 17603-2780 | 2019-07-09 |
| 1871152413 | Veronica Frazier | Counselor | 722 Oakbluff Dr, Lancaster, TX 75146-1429 | 2019-06-07 |
| 1417412669 | Nancy Martinez | Counselor | 44349 Lowtree Ave Ste 101, Lancaster, CA 93534-4104 | 2019-02-01 |
| 1285104695 | Alison Mann | Counselor | 1122 May Ct, Lancaster, TX 75146-4938 | 2018-11-28 |
| Find all providers in LANCASTER | ||||
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| 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.