WILKIAM WILSON (NPI# 1558779298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558779298 |
| Entity Type | Individual |
| Full Name | WILKIAM WILSON |
| Practice Address |
1290 Halstead Blvd Elizabeth City NC 27909 |
| Mailing Address |
Po Box 1614 Elizabeth City NC 27906-1614 |
| Practice Telephone | 2523338445 |
| Mailing Telephone | 2523120516 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-21440 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1305a Lincoln St, Elizabeth City, NC 279096011 | 2523120516 | |
| 612 Ray St, Elizabeth City, NC 279095154 | 2523120516 |
| Street Address |
1290 HALSTEAD BLVD |
| City | ELIZABETH CITY |
| State | NC |
| Zip Code | 27909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396214193 | Eunoia Behavior Health Services | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909-5840 | 2018-11-21 |
| 1043726326 | Princeton Behavioral Health, Inc. | Substance Abuse Rehabilitation Facility | 1290 Halstead Blvd, Elizabeth City, NC 27909-5840 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482177 | Leslie Treherne-fayton Dds Pllc | Dentist | 3875 Conlon Way Ste A, Elizabeth City, NC 27909 | 2020-03-13 |
| 1053829077 | Kaitlyn Daniels | Counselor | 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 | 2018-01-11 |
| 1487183778 | Traniqua Mccullen | Social Worker | 314 Orchard Drive, Elizabeth City, NC 27909 | 2017-06-08 |
| 1760938401 | Lauren Noele Schaefer | Physical Therapist | 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 | 2016-09-01 |
| 1588023279 | Regina Mccoy | Nurse Practitioner | 1507 N Road St Ste 3, Elizabeth City, NC 27909 | 2016-02-23 |
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1770963365 | Harlan Bradley Hurdle | Pharmacist | 104 Breezewood Drive, Elizabeth City, NC 27909 | 2015-06-09 |
| 1871919886 | Courtney Bunch | Specialist/Technologist | 1680 Cedar Point Circle, Elizabeth City, NC 27909 | 2014-03-14 |
| 1790100832 | The Power of U | Community/Behavioral Health | 1023 Us17s Suite 1, Elizabeth City, NC 27909 | 2014-02-26 |
| 1114358371 | Sherry Renee Whaley | Nurse Practitioner | Next Care Urgent Care, 615 S Hughes Blvd #a, Elizabeth City, NC 27909 | 2013-12-12 |
| Find all providers in zip 27909 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297230 | Cpl Counseling & Consulting Services | Counselor | 1016 W Ehringhaus St, Elizabeth City, NC 27909-4959 | 2018-03-01 |
| 1205340734 | Charlene Lavone Powell | Counselor | 1016 W Ehringhaus St Ste B-6, Elizabeth City, NC 27909-4959 | 2017-11-20 |
| 1750653945 | Laverne Bruce | Counselor | 504 E Elizabeth St Ste 1, Elizabeth City, NC 27909-4472 | 2012-02-02 |
| 1982923058 | Anna Coker | Counselor | 891 Berea Church Rd, Elizabeth City, NC 27909-7303 | 2010-05-27 |
| 1467789586 | Pathways Counseling Center | Counselor | 508 E Main St Ste 201, Elizabeth City, NC 27909-4458 | 2009-11-10 |
| 1285721878 | Angela Starr Osmon | Counselor | 1806 Edgewood Dr, Elizabeth City, NC 27909-6618 | 2006-10-06 |
| 1366077687 | Melissa Smith | Counselor | 105 Medical Dr, Elizabeth City, NC 27909-3361 | 2020-03-06 |
| 1396214193 | Eunoia Behavior Health Services | Counselor | 1290 Halstead Blvd, Elizabeth City, NC 27909-5840 | 2018-11-21 |
| 1629438783 | Valerie Boyce | Counselor | 208 Hastings Ln, Elizabeth City, NC 27909-3324 | 2016-03-02 |
| 1851712962 | Gary Prirchard Stanley | Counselor | 1141 N Road St, Elizabeth City, NC 27909-3354 | 2013-12-17 |
| Find all providers in ELIZABETH CITY | ||||
| City | ELIZABETH CITY |
| Zip Code | 27909 |
Please comment or provide details below to improve the information on WILKIAM 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.