AMANDA WILSON (NPI# 1124679899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124679899 |
| Entity Type | Individual |
| Full Name | AMANDA WILSON |
| Practice Address |
3707 Main St # 5 College Park GA 30337-3544 |
| Mailing Address |
4755 Albany Way Atlanta GA 30331-7947 |
| Practice Telephone | 6784719781 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002883 | Amanda L Wilson | Registered Nurse | 17444 Q Dr N, Marshall, MI 49068-9418 | 2020-08-04 |
| 1932748217 | Amanda R Wilson | Homemaker | 312 Flint St, Haines City, FL 33844-8219 | 2020-01-03 |
| 1861043119 | Amanda L Wilson | Social Worker | 3034 St Armand Rd, Swanton, VT 05488-8737 | 2019-09-26 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1306392238 | Amanda Wilson | Dentist | 2134 State Route 208, Montgomery, NY 12549-2613 | 2016-08-31 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1265887608 | Amanda Wilson | Speech-Language Pathologist | 4031 San Fernando Ln, Saint Charles, MO 63304-2831 | 2016-05-03 |
| 1467825950 | Amanda S Wilson | Licensed Practical Nurse | 5150 Upton Rd N, Columbus, OH 43232-5242 | 2015-11-05 |
| Street Address |
3707 MAIN ST # 5 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30337-3544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194360768 | Advant Therapy Services LLC | Speech-Language Pathologist | 4827 Old National Hwy, Pmb 1619, College Park, GA 30337 | 2019-11-07 |
| 1093288318 | Kevin Ramone Larkins | Counselor | 191 John Wesley Ave, College Park, GA 30337 | 2019-01-09 |
| 1013482553 | Michael Uchenna Okenchi | Nurse Practitioner | 3715 Atlanta St, Atlanta, GA 30337 | 2018-10-11 |
| 1962993436 | Bridges of Success, Inc. | Counselor | 3707 Main St, #10, College Park, GA 30337 | 2018-05-21 |
| 1427568245 | Andrienne Ignatia Terrell | Specialist/Technologist | 600 N Terminal Hartsfield-jackson Airport, Atlanta, GA 30337 | 2017-10-06 |
| 1710408745 | Tiffany Godwin | Specialist/Technologist | 600 N Terminal Hartsfield-jackon International Airport, Atlanta, GA 30337 | 2017-06-29 |
| 1104288240 | Susan Elizabeth Northrup | Preventive Medicine | 1701 Columbia Avenue, Federal Aviation Administration, Aso-300, College Park, GA 30337 | 2016-03-28 |
| 1689061301 | Jayne' Green | Counselor | 1919 John Wesley Ave., College Park, GA 30337 | 2015-04-21 |
| 1023412897 | Progressive Health Aviation Services | Clinic/Center | 600 N Terminal, Hartsfield-jackson Atlanta International Airport, Atlanta, GA 30337 | 2014-10-22 |
| 1578805453 | Talib El | Counselor | 2615 Roosevelt Highway, Atlanta, GA 30337 | 2013-03-19 |
| Find all providers in zip 30337 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1245719426 | Antonia Lamoi Taylor | Counselor | 2459 Roosevelt Hwy # B1516, College Park, GA 30337-5512 | 2018-08-09 |
| 1174029441 | Sticks In A Bundle Mentoring & Outreach, LLC | Counselor | 1865 Harvard Ave, College Park, GA 30337-3526 | 2018-04-04 |
| 1972850790 | Felicia R Perry | Counselor | 2245 Godby Rd Ste 102/104, College Park, GA 30349-5060 | 2012-08-10 |
| 1265721567 | Angela Peoples | Counselor | 5101 Buffington Rd, Ste 3445, College Park, GA 30349-2922 | 2011-04-07 |
| 1154656023 | Nicole Patrich Davis | Counselor | 1862 Princeton Ave # 206, College Park, GA 30337-3519 | 2009-10-12 |
| 1093048324 | Steven Snook, Ph.d., LLC | Counselor | 1651 Phoenix Blvd Ste 2, College Park, GA 30349-5552 | 2009-09-18 |
| 1467684456 | Lisa Andrews | Counselor | 1651 Phoenix Blvd, Suite 2, College Park, GA 30349-5552 | 2009-08-10 |
| 1720274632 | Judith Ann Johnson X | Counselor | 10201 Baltimore Ave, Apt # 1503, College Park, MD 20740-4216 | 2007-09-25 |
| 1316066673 | Felicia Jones Jenkins | Counselor | 5538 Old National Hwy, 350, College Park, GA 30349-3278 | 2007-03-28 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30337 |
Please comment or provide details below to improve the information on AMANDA WILSON.
| 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.