MS. GWEN VINSON


Address: 811 Woodsford Dr, Greenville, SC 29615-5477
Phone: 8643607951

MS. GWEN VINSON (NPI# 1780749937) 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) 1780749937
Entity Type Individual
Full Name MS. GWEN VINSON
Credential RN,LPC,CACII
Practice Address 811 Woodsford Dr
Greenville
SC 29615-5477
Practice Telephone 8643607951
Mailing Telephone 8643607951
Enumeration Date 2006-12-27
Last Update Date 2011-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 101YM0800X Counselor
Specialization: Mental Health
4729 SC Behavioral Health & Social Service Providers

Office Location

Street Address 811 WOODSFORD DR
City GREENVILLE
State SC
Zip Code 29615-5477

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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...

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Competitor

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City GREENVILLE
Zip Code 29615

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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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