DWYLA WILSON


Address: 5842 Mohawk Rd, Meridian, MS 39305-1367
Phone: 6016931234

DWYLA WILSON (NPI# 1598188286) 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) 1598188286
Entity Type Individual
Full Name DWYLA WILSON
Credential LPC-S, NCC
Practice Address 5842 Mohawk Rd
Meridian
MS 39305-1367
Practice Telephone 6016931234
Practice Fax Number 6016931312
Mailing Telephone 6016931234
Mailing Fax Number 6016931312
Enumeration Date 2014-01-30
Last Update Date 2020-03-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 246433 MS Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
120 MS Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
1578 MS Behavioral Health & Social Service Providers

Office Location

Street Address 5842 MOHAWK RD
City MERIDIAN
State MS
Zip Code 39305-1367

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013521053 Shirley Home Care, LLC Nurse's Aide 4525 Poplar Springs Drive, Meridian, MS 39305 2020-09-08
1871017855 Robbyn Lee Nurse Practitioner 4715 24th Place, Meridian, MS 39305 2017-08-01
1245686575 Synergy Physical Therapy & Sports Medicine, LLC Clinic/Center 2447 47th Court, Suite F, Meridian, MS 39305 2016-05-05
1912305988 Anderson Regional Medical Center Family Medicine 6694 Poplar Springs Drive, Meridian, MS 39305 2014-12-08
1861817603 Meadowbrook Health & Rehab LLC Skilled Nursing Facility 211 Windmill Drive, Meridian, MS 39305 2014-03-04
1982042198 Kennerh Provine Collins Pharmacist 2917 56th Court, Meridian, MS 39305 2013-06-10
1306284880 A1 In Home Therapy Community Health Worker 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 2013-06-06
1497192876 Taylor Farland Dentist 2300 North Hills, Meridian, MS 39305 2013-05-27
1376814533 Priscilla Miller Nurse Practitioner 4715 42nd Place, Meridian, MS 39305 2012-01-19
1497083927 Kelley C Gowdy Nurse Practitioner 4711 Poplar Springs Drive, Meridian, MS 39305 2009-11-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689271843 Krystle May Sears Counselor 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 2020-10-01
1750927372 Restoring Hope Healing From Trauma and Addiction LLC Counselor 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 2019-11-19
1942864434 Carissa Ann Barnes Counselor 827 W Ashby Dr, Meridian, ID 83646-5695 2019-04-30
1134687809 Lauren Yoder Counselor 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 2019-03-12
1376000943 Amanda Marie Breneman Counselor 235 E Pine Ave, Meridian, ID 83642-2332 2019-03-01
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1740767623 Serena Poland Counselor 3019 S Hudspeth Ave, Meridian, ID 83642-4815 2018-07-24
1821574294 Anna Krzemieniecki Counselor 1406 N Main St Ste 203, Meridian, ID 83642-1746 2018-07-18
1972011062 Ebone Shania Newton Counselor 2803 North Hills Street, Meridian, MS 35459 2018-01-11
1285143941 Nicholas E O'brien Counselor 2463 E Gala St, Meridian, ID 83642 2017-09-26
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 39305

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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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