TINA ANDREA WILSON (NPI# 1548696388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548696388 |
| Entity Type | Individual |
| Full Name | TINA ANDREA WILSON |
| Credential | LCAS-A |
| Practice Address |
8430 University Exec Park Dr Ste. 655 Charlotte NC 28262-1350 |
| Practice Telephone | 7045965553 |
| Practice Fax Number | 7045961556 |
| Mailing Telephone | 7045965553 |
| Mailing Fax Number | 7045961556 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| 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) |
3496A | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497295067 | Tina Wilson | Counselor | 591 State Route 244, Alfred Station, NY 14803 | 2017-03-02 |
| 1033653720 | Tina Wilson | Community Based Residential Treatment Facility, Mental Illness | 139 Whippoorwill Ln, Mt Holly, NC 28120-9761 | 2016-12-14 |
| 1417262205 | Tina Wilson | Mechanotherapist | 15019 Nw 5th Ave, Newberry, FL 32669-2828 | 2010-08-17 |
| 1003442690 | Tina Wilson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-03-16 |
| 1902158348 | Tina Wilson | Hearing Instrument Specialist | 1801 S State Road 57, Washington, IN 47501-4326 | 2012-10-10 |
| 1376579854 | Tina Wilson | Internal Medicine | 620 Skyline Dr, Jackson, TN 38301 | 2006-06-25 |
| 1770551319 | Tina L Wilson | Registered Nurse | 580 Westport Rd, Elizabethtown, KY 42701-2949 | 2006-03-09 |
| 1548262058 | Tina Louise Wilson | Pharmacist | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-08-15 |
| Street Address |
8430 UNIVERSITY EXEC PARK DR STE. 655 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573990 | Shavonda Latiea Bean | Psychologist | 8430 University Exec Park Dr, Suite 655, Charlotte, NC 28262-1350 | 2005-10-27 |
| 1972054674 | Charity Tipton | Counselor | 8430 University Exec Park Dr, Charlotte, NC 28262-1350 | 2016-10-18 |
| 1437543212 | Asaasa Medical Supply & Home Oxygen | Durable Medical Equipment & Medical Supplies | 8430 University Exec Park Dr, Suite 670, Charlotte, NC 28262-1350 | 2015-03-19 |
| 1457637084 | Hmc Family Services | Home Health | 8430 University Exec Park Dr, Suite 608, Charlotte, NC 28262-1350 | 2011-10-27 |
| 1780976720 | Dr David E Paquette Dds Ms Msd | Dentist | 8430 University Exec Park Dr, 605, Charlotte, NC 28262-1350 | 2011-05-10 |
| 1477857225 | Connections Bwb Inc | Counselor | 8430 University Exec Park Dr, Suite 655, Charlotte, NC 28262-1350 | 2011-01-07 |
| 1073833091 | Khaalisha Idrina Caldwell | Social Worker | 8430 University Exec Park Dr, Suite 655, Charlotte, NC 28262-1350 | 2010-06-02 |
| 1477870061 | Connections Bwb Inc | Foster Care Agency | 8430 University Exec Park Dr, Suite 655, Charlotte, NC 28262-1350 | 2010-04-23 |
| 1861667214 | Asd-cap Services II | Home Health | 8430 University Exec Park Dr, Suite 655, Charlotte, NC 28262-1350 | 2008-04-28 |
| 1689852162 | Jeffrey D Hutcheson, Dmd, Pa | Dentist | 8430 University Exec Park Dr, Suite 600, Charlotte, NC 28262-1350 | 2008-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
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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.