MRS. TENNILLE KRISTINE WILSON


Address: 6415 Camden Rd Ste 109, Fayetteville, NC 28306-7584
Phone: 9106705241

MRS. TENNILLE KRISTINE WILSON (NPI# 1467014746) 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) 1467014746
Entity Type Individual
Full Name MRS. TENNILLE KRISTINE WILSON
Credential LPCA
Practice Address 6415 Camden Rd Ste 109
Fayetteville
NC 28306-7584
Mailing Address 6880 Blake Rd
Stedman
NC 28391-8667
Practice Telephone 9106705241
Mailing Telephone 9106705241
Enumeration Date 2019-07-08
Last Update Date 2019-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor A14226 NC Behavioral Health & Social Service Providers

Office Location

Street Address 6415 CAMDEN RD STE 109
City FAYETTEVILLE
State NC
Zip Code 28306-7584

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1528687472 Edutherapy Connection LLC Occupational Therapist 3518 Grenedine Dr, Fayetteville, NC 28306 2020-04-10
1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619576352 Bianca Faith Monroe Counselor 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 2020-10-23
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1760032239 Peyton Elaine Smith Counselor 2403 Main Dr Ste 1&2, Fayetteville, AR 72704-5223 2019-09-17
1366914004 Katie Frankum Counselor 6805 Woodmark Dr, Fayetteville, NC 28314-6458 2018-12-19
1588132534 Sara Penney Counselor 351 Wagoner Dr Ste 135, Fayetteville, NC 28303-4608 2018-11-07
1578045589 Tamara Smith Thom Counselor 2307 Cumberland Gap Dr, Fayetteville, NC 28306-6940 2018-09-06
1003393968 Melissa Stone Martinez Counselor 175 Bradford Sq Ste D, Fayetteville, GA 30215-1967 2018-07-24
1629561568 Hamlin Glover Consulting Group, LLC Counselor 3681 Raeburn Ct, Fayetteville, NC 28314-2623 2018-06-13
1861983439 Jessica Lynne Smith Counselor 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 2018-05-19
1265932149 Jamie Gaskin Counselor 2729 Millbrook Rd, Fayetteville, NC 28303-5205 2018-02-16
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Competitor

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City FAYETTEVILLE
Zip Code 28306

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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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