RICKY DALE WILSON


Address: 6570 Sosna Dr, Fairfield, OH 45014-2222
Phone: 5139424673

RICKY DALE WILSON (NPI# 1174159610) 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) 1174159610
Entity Type Individual
Full Name RICKY DALE WILSON
Practice Address 6570 Sosna Dr
Fairfield
OH 45014-2222
Practice Telephone 5139424673
Mailing Telephone 5139424673
Mailing Fax Number 5137371107
Enumeration Date 2020-03-17
Last Update Date 2020-09-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA.174383 OH Behavioral Health & Social Service Providers
N 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Office Location

Street Address 6570 SOSNA DR
City FAIRFIELD
State OH
Zip Code 45014-2222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215001128 Michael Thomas Ramos Social Worker 6570 Sosna Dr, Fairfield, OH 45014-2279 2006-11-20
1891396420 Jamie Stafford Behavior Technician 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-11-02
1336751064 Holly Pelphrey Counselor 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-08-24
1801406939 Jennifer Hopkins Counselor 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-08-04
1952925810 Sharon Dodds Counselor 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-06-05
1215550470 Jasmina Joan Nystrom Behavior Technician 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-05-22
1295357333 Donald Compton Iv Behavior Technician 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-05-12
1730700857 James Henson Behavior Technician 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-04-29
1497380232 Chasity Mason Licensed Practical Nurse 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-03-11
1902430739 Beverly Zaenkert Registered Nurse 6570 Sosna Dr, Fairfield, OH 45014-2222 2020-03-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326526872 Megan Coleen Hamill Registered Nurse 6570 Sosna Drive, Fairfield, OH 45014 2018-08-06
1831695642 James Grant Walther Contractor 16408 Jeanie Drive, Aurora, IN 45014 2018-04-02
1104339837 Tamara Rochester Registered Nurse 5474 Yellowstone Dr, Fairfield, OH 45014 2017-11-16
1104335892 Barbara Johnson Registered Nurse 2853 Saturn Drive, Fairfield, OH 45014 2017-09-25
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1669916789 Lacretia Ancona In Home Supportive Care 700 Wessel Dr #181505, Fairfield, OH 45014 2016-12-08
1134676299 Lynne Mutuku Licensed Practical Nurse 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 2016-09-07
1104291020 Mimi Supportive Hands .llc Home Health 6 Ridge Dr Apt 203, Cincinnati, OH 45014 2015-12-03
1215319181 Brittany Beck Social Worker 3050 Mack Rd Ste 205, Fairfield, OH 45014 2015-06-26
1093193278 Ashli Tanner Specialist/Technologist 8790 N. Gilmore Rd., Fairfield, OH 45014 2015-05-08
Find all providers in zip 45014

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700411386 Darren Hailey Counselor 72 Villa Cir, Fairfield, CA 94533-2523 2020-03-04
1013567270 Asia Robinson Counselor 1165 Dove Way, Fairfield, CA 94533-2542 2019-09-18
1689220477 Carl Leonard Fessenden Counselor 1974 Winchester Pl, Fairfield, CA 94533-3618 2019-08-16
1598262677 Jason Michael Levline Counselor 5266 Charlene Ave, Fairfield, OH 45014-1535 2018-04-06
1497285084 Beth A. Bronfman Counselor 87 Fairfield Rd, Fairfield, NJ 07004-2546 2017-06-15
1588191290 Kirk D. Condon Counselor 201 South 23rd, Fairfield, IA 52556 2017-05-12
1205373537 Samuel E Ghee IIi Counselor Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 2017-01-25
1730639329 Jonathon Grogan Counselor 2480 Hilborn Rd, Fairfield, CA 94534-1856 2016-10-07
1295119196 Sara Faye Jones Counselor 745 Ohio St Apt 2, Fairfield, CA 94533-6222 2015-07-10
1205242583 Amy Lynn Davis Counselor 620 Julmar Cir, Fairfield, CA 94534-4214 2014-07-07
Find all providers in FAIRFIELD

Competitor

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City FAIRFIELD
Zip Code 45014

Improve Information

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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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