SHAKELA WILSON (NPI# 1336442300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336442300 |
| Entity Type | Individual |
| Full Name | SHAKELA WILSON |
| Practice Address |
6601 De Longpre Ave Hollywood CA 90028 |
| Practice Telephone | 8182599129 |
| Mailing Telephone | 8182599129 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6601 DE LONGPRE AVE |
| City | HOLLYWOOD |
| State | CA |
| Zip Code | 90028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
| 1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
| 1821562315 | Ronnie Jerome Jackson | Case Manager/Care Coordinator | Bhs Hollywood Recovery Center, 6838 Sunset Blvd, Hollywood, CA 90028 | 2019-01-17 |
| 1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
| 1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
| 1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
| 1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
| 1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
| 1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
| Find all providers in zip 90028 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459213 | Maria Paula Bedoya | Counselor | 1776 Polk St Apt 1708, Hollywood, FL 33020-4680 | 2020-02-17 |
| 1104305523 | Linda O Campfield | Counselor | 2900 N 26th Ave Apt 801, Hollywood, FL 33020-1969 | 2018-08-07 |
| 1235629387 | New Beginnings Therapy Center | Counselor | 2028 Harrison St Ste 201-4, Hollywood, FL 33020-7845 | 2018-05-15 |
| 1093165680 | Anne Weymouth | Counselor | 5900 Johnson St, Hollywood, FL 33021-5638 | 2016-06-15 |
| 1871907170 | David Leclair | Counselor | 4330 Hillcrest Dr Apt 204, Hollywood, FL 33021-7934 | 2014-06-13 |
| 1487952719 | Belinda Evans | Counselor | 6838 W. Sunset Blvd., Hollywood, CA 90028 | 2011-03-10 |
| 1669603221 | Lamora D Pace | Counselor | 2500 Hollywood Blvd Ste 410, Hollywood, FL 33020-6615 | 2009-07-30 |
| 1568670438 | Kristine Anne Poursine-hill | Counselor | 5701 Hollywood Blvd, Suite A, Hollywood, FL 33021-6326 | 2007-05-21 |
| 1639285646 | Ledia Urbano | Counselor | 6848 Stirling Rd, Hollywood, FL 33024-1842 | 2006-08-22 |
| 1649815143 | Elizabeth Cooper | Counselor | 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795 | 2019-11-08 |
| Find all providers in HOLLYWOOD | ||||
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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.