MYRA LYNETTE WILSON (NPI# 1760957427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760957427 |
| Entity Type | Individual |
| Full Name | MYRA LYNETTE WILSON |
| Credential | ALC |
| Practice Address |
404 15th St N Birmingham AL 35203-1845 |
| Mailing Address |
752 41st St Fairfield AL 35064-2318 |
| Practice Telephone | 2057774022 |
| Mailing Telephone | 2052139554 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879434 | Myra Vaughters Wilson | Community Health Worker | 1320 Landsdown Dr, Salisbury, NC 28147-7373 | 2020-04-02 |
| 1992228753 | Myra B. Wilson | Physician Assistant | 901 Sw Garfield Ave, Topeka, KS 66606-1670 | 2017-07-24 |
| Street Address |
404 15TH ST N |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35203-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487804316 | Lavoris Michelle Townsend Williams | Counselor | 404 15th St N, Birmingham, AL 35203-1845 | 2008-09-29 |
| 1548809148 | Cheryl Denise Campbell | Counselor | 404 15th St N, Birmingham, AL 35203-1845 | 2019-12-30 |
| 1902452352 | Laquise Shermaine Harbin | Counselor | 404 15th St N, Birmingham, AL 35203-1845 | 2019-08-12 |
| 1356816300 | Rachel Berneil Palmore | Counselor | 404 15th St N, Birmingham, AL 35203-1845 | 2018-10-05 |
| 1518412394 | Charla Hammell | Case Management | 404 15th St N, Birmingham, AL 35203-1845 | 2016-08-22 |
| 1417402447 | L.williams and Associates LLC | Case Management | 404 15th St N, Birmingham, AL 35203-1845 | 2016-08-19 |
| 1023400264 | Brittney Lovell | Counselor | 404 15th St N, Birmingham, AL 35203-1845 | 2015-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790140986 | Dominique Cecil | Counselor | 205 20th Street North Suite 600, Birmingham, AL 35203 | 2015-12-15 |
| 1831501493 | Imed Equip LLC | Durable Medical Equipment & Medical Supplies | 1201 3rd Ave North, Birmingham, AL 35203 | 2014-05-29 |
| 1205197951 | Northwest Emergency Physician Group | Emergency Medicine | 624 28th St N, Birmingham, AL 35203 | 2012-05-30 |
| 1871751800 | Lygis Holcomb | Nurse Practitioner | 712 25th Street North, Birmingham, AL 35203 | 2008-05-27 |
| 1871666867 | Luisa Camposano Eroles | Nurse Practitioner | 1600 20th Street South, Bham, AL 35203 | 2006-11-16 |
| 1770516643 | Medtown Inc | Pharmacy | 221 20th Street North, Birmingham, AL 35203 | 2006-07-07 |
| 1235168766 | Michael Chandler | Family Medicine | 2200 Rev Abraham Woods Blvd North, Birmingham, AL 35203 | 2006-06-30 |
| 1821054511 | James Morris Lewis | Ophthalmology | 1704 5th Ave No, Birmingham, AL 35203 | 2006-04-22 |
| 1710941349 | Sandra L. Mcmichael | Nurse Practitioner | 1022 1st Ave N, Suite 301, Birmingham, AL 35203 | 2006-04-12 |
| 1801380001 | Icp Alabama, LLC | Nurse Practitioner | 420 20th St N Ste 2200, Birmingham, AL 35203 | 2018-06-20 |
| Find all providers in zip 35203 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1558988576 | Shalisha Curry | Counselor | 2543 Hampstead Dr, Birmingham, AL 35235-5002 | 2020-06-26 |
| 1669009452 | Faye Ann White | Counselor | 8532 Valley Hill Drive, Birmingham, AL 35206 | 2020-03-24 |
| 1245892249 | Intentional Healing, LLC | Counselor | 1401 Providence Park Ste 250, Birmingham, AL 35242-4694 | 2019-07-01 |
| 1003371865 | Alabama Behavioral Care LLC | Counselor | 1530 2nd Ave N, Birmingham, AL 35203-1825 | 2019-02-06 |
| 1902379480 | Keeyana Gaynell Mclish | Counselor | 1025 23rd St S Ste 315, Birmingham, AL 35205-2499 | 2019-01-07 |
| 1063901833 | Inneressence Counseling and Clinical Hypnotherapy | Counselor | 380 N Old Woodward Ave Ste 156, Birmingham, MI 48009-5307 | 2018-05-07 |
| 1144746371 | Christa Whitacre | Counselor | 108 Brook Highland Ln, Birmingham, AL 35242-5301 | 2017-08-18 |
| 1568903029 | Jerrold Langford | Counselor | 1337 Bush Blvd W, Birmingham, AL 35208-4930 | 2017-03-16 |
| 1326583683 | Elizabeth Shahid | Counselor | 1821 11th Ave S # 550024, Birmingham, AL 35205-4807 | 2016-12-22 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35203 |
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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.