PATRICK WILSON (NPI# 1588288864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588288864 |
| Entity Type | Individual |
| Full Name | PATRICK WILSON |
| Credential | LPC |
| Practice Address |
1744 Roswell Rd Ste 102 Marietta GA 30062-3979 |
| Practice Telephone | 7707564191 |
| Mailing Telephone | 7707564191 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
011462 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801314547 | Patrick Joseph Wilson | Student in an Organized Health Care Education/Training Program | 416 Harrington Rd, Havertown, PA 19083-2109 | 2017-09-01 |
| 1245608074 | Patrick Wilson | Speech-Language Pathologist | 250 Cross Rd, Richmond, MA 01254-1000 | 2015-09-10 |
| 1003243445 | Patrick Wilson | Counselor | 4024 Woods Dr, Oklahoma City, OK 73111-5132 | 2013-09-30 |
| 1316100670 | Patrick C Wilson | Surgery | 805 Madison St., Suite 1d, Huntsville, AL 35801 | 2008-07-08 |
| 1104086438 | Patrick Thomas Wilson | Dentist | 9358 Dorchester St Ste 106, Highlands Ranch, CO 80129-2511 | 2008-06-10 |
| 1477733319 | Patrick Lewis Wilson | Genetic Counselor, MS | 1200 Childrens Ave Ste 1100, Prenatal Diagnostic Center, Oucpb, Oklahoma City, OK 73104-4637 | 2007-11-08 |
| 1578590238 | Patrick Henry Wilson | Specialist | 6200 Utsa Blvd, 100, San Antonio, TX 78249-1617 | 2006-06-27 |
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1609878909 | Patrick R Wilson | Dentist | 6744 Clayton Rd, Ste 216, Saint Louis, MO 63117-1634 | 2005-06-01 |
| 1689282527 | Patrick Wilson | Dentist | 234 Summer St, Haverhill, MA 01830-6318 | 2020-07-16 |
| Street Address |
1744 ROSWELL RD STE 102 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-3979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987238 | Kimberly Wallace Lpc LLC | Counselor | 2852 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5686 | 2020-09-19 |
| 1073128609 | Alyssa May Rodriguez | Counselor | 2064 S Cove Trl, Marietta, GA 30066-1922 | 2020-09-10 |
| 1225642374 | April G Lewis | Counselor | 1640 Powers Ferry Rd Se Bldg 20, Marietta, GA 30067-5491 | 2020-09-06 |
| 1336751890 | Brandi Lynne Neogra | Counselor | 207 Colegate Dr Ste D, Marietta, OH 45750-2363 | 2020-08-17 |
| 1427672575 | Monique T Jones | Counselor | 2480 Windy Hill Rd Se Ste 105, Marietta, GA 30067-8608 | 2020-06-04 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1851928857 | Patricia Li Zerman | Counselor | 1373 Old Virginia Ct Se, Marietta, GA 30067-8461 | 2020-03-27 |
| 1467089227 | Catherine Ibarra | Counselor | 1640 Powers Ferry Rd Se # 300, Marietta, GA 30067-5491 | 2020-03-23 |
| 1306487970 | Brooke Lopes | Counselor | 2655 Dallas Hwy Sw Ste 230, Marietta, GA 30064-2597 | 2019-10-03 |
| 1376109256 | Wanda Duren Watson | Counselor | 4343 Shallowford Rd Bldg H4, Marietta, GA 30062-5023 | 2019-05-15 |
| Find all providers in MARIETTA | ||||
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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.