MRS. KENYATTA WILSON (NPI# 1275710667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275710667 |
| Entity Type | Individual |
| Full Name | MRS. KENYATTA WILSON |
| Other Name | MS. KENYATTA WILSON |
| Credential | M.S. |
| Practice Address |
500 Old Bremen Rd Suite 101 Carrollton GA 30117-5216 |
| Practice Telephone | 7708203070 |
| Mailing Telephone | 7708203070 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC007401 | GA | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC007401 | GA | Behavioral Health & Social Service Providers |
| Street Address |
500 OLD BREMEN RD SUITE 101 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972004802 | Nursing From The Heart, LLC | Registered Nurse | 500 Old Bremen Rd, Carrollton, GA 30117-5216 | 2018-02-26 |
| 1689107989 | Demetra L Thomas | Counselor | 500 Old Bremen Rd, Suite 101, Carrollton, GA 30117-5216 | 2017-04-04 |
| 1629423025 | Need It Most Homecare, LLC | Home Health | 500 Old Bremen Rd, Suite 109, Carrollton, GA 30117-5216 | 2016-05-04 |
| 1528424793 | Anne Lussier | Registered Nurse | 500 Old Bremen Rd, Carrollton, GA 30117-5216 | 2016-01-04 |
| 1568873420 | Wilson Professional Counseling & Consulting, LLC | Counselor | 500 Old Bremen Rd, Suite 101, Carrollton, GA 30117-5216 | 2014-05-14 |
| 1609148451 | Helping Hands That Understand Agency, Inc | Nursing Care | 500 Old Bremen Rd, 104, Carrollton, GA 30117-5216 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344928 | Stephen Harold Simoson | Counselor | 4020 Huffines Blvd Ste 120, Carrollton, TX 75010-6524 | 2018-11-05 |
| 1013416221 | Emily Thomas | Counselor | 1428 W Hebron Pkwy Ste 135, Carrollton, TX 75010-6345 | 2018-02-03 |
| 1245770700 | Weslee Warner | Counselor | 783 Jones Ave Nw, Carrollton, OH 44615-9434 | 2017-03-03 |
| 1376953364 | Pope Counseling, LLC | Counselor | 251 Prism Dr., Suite 11, Carrollton, GA 30116 | 2014-04-30 |
| 1366776403 | Kenneth Turner | Counselor | 109 Danny Dr Apt C, Carrollton, GA 30117-8733 | 2009-09-22 |
| 1114172533 | Benjamin Powell Curry Jr. | Counselor | 190 William E. Hill Drive, Carrollton, AL 35447 | 2008-11-26 |
| 1164685046 | Linda K Noblin | Counselor | 3805 Pinewood Cir, Carrollton, TX 75007-1935 | 2008-07-09 |
| 1710144027 | Faye Ruth Creel | Counselor | 707 Old Camp Church Road, Carrollton, GA 30117-8291 | 2008-05-22 |
| 1285817890 | Pickens County Medical Center Senior Care Outpatient Clinic | Counselor | 241 Hwy 17 N, Carrollton, AL 35447 | 2007-12-06 |
| 1487796090 | Patty G Sullivan | Counselor | 2707 Sedgeway, Carrollton, TX 75006 | 2007-02-12 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
Please comment or provide details below to improve the information on MRS. KENYATTA 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.