MRS. ELIZABETH MARIAN WILDER (NPI# 1437398658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437398658 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH MARIAN WILDER |
| Credential | LMHC |
| Practice Address |
840 Brevard Ave Rockledge FL 32955-2149 |
| Practice Telephone | 3216325792 |
| Practice Fax Number | 3216325796 |
| Mailing Telephone | 3216325792 |
| Mailing Fax Number | 3216325796 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH 9739 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649603135 | Elizabeth Ann Wilder | Nurse Practitioner | 140 Vo Tech Dr., Mcminnville, TN 37110-1390 | 2013-08-20 |
| 1780027052 | Elizabeth Wilder | Dermatology | 411 N Washington Ave Ste 1200, Dallas, TX 75246-1744 | 2013-04-16 |
| 1316338510 | Elizabeth I Wilder | Nurse Anesthetist, Certified Registered | 1 Medical Center Dr Dept Of, Lebanon, NH 03756-1000 | 2015-02-10 |
| 1982093266 | Elizabeth Wilder X | Pharmacist | 14 Commerce Dr, Ballston Spa, NY 12020-3631 | 2015-01-09 |
| 1164569075 | Elizabeth Parks Wilder | Nurse Anesthetist, Certified Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2007-01-31 |
| Street Address |
840 BREVARD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912053919 | Family Counseling Center of Brevard, Inc. | Community/Behavioral Health | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2007-01-25 |
| 1356689616 | Karen A Delos Santos | Counselor | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2013-01-22 |
| 1871899294 | Gineva Bussen | Social Worker | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2011-02-02 |
| 1700026341 | Kimberly A Kanarick | Counselor | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2009-02-23 |
| 1811136047 | Robert L Cravens | Counselor | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2009-02-11 |
| 1508990896 | Daniel Louis Bologna | Social Worker | 840 Brevard Ave, Rockledge, FL 32955-2149 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847096 | Erica Graber | Counselor | 4235 Us Highway 1, Rockledge, FL 32955-5312 | 2020-06-26 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1679034946 | Mary Elizabeth Ann Laburda | Counselor | 1041 Seminole Dr, Rockledge, FL 32955-1985 | 2019-03-28 |
| 1497257133 | Tysha Kenyetta Pittman | Counselor | 1021 Cascade Cir Apt 208, Rockledge, FL 32955-8074 | 2018-03-07 |
| 1659808210 | Patricia Edmond | Counselor | 351 Castlewood Ln, Rockledge, FL 32955-4754 | 2017-05-15 |
| 1336681634 | Debra Stagman | Counselor | 1210 Apple Creek Ln, Rockledge, FL 32955-8211 | 2016-11-17 |
| 1124482625 | Laurie Ann Blake | Counselor | 1037 Pathfinder Way Ste 103, Rockledge, FL 32955-3242 | 2016-04-11 |
| 1477913358 | Marlene Guerrero | Counselor | 4491 Aberdeen Cir, Rockledge, FL 32955 | 2016-03-04 |
| 1982077228 | Nella Ciciulla | Counselor | 1290 Us Highway 1, Rockledge, FL 32955-2712 | 2015-11-09 |
| 1255739892 | Griszel Long | Counselor | 300 Jarrett Ave, Rockledge, PA 19046-4227 | 2014-12-14 |
| Find all providers in ROCKLEDGE | ||||
Please comment or provide details below to improve the information on MRS. ELIZABETH MARIAN WILDER.
| 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.