MR. LAWRENCE EDWARD WILSON (NPI# 1902327018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902327018 |
| Entity Type | Individual |
| Full Name | MR. LAWRENCE EDWARD WILSON |
| Credential | NACAII, LADACII, |
| Practice Address |
1548 Poplar Ave Memphis TN 38104-2432 |
| Mailing Address |
3543 Philsdale Ave Memphis TN 38111-5450 |
| Practice Telephone | 9012776101 |
| Practice Fax Number | 9017292933 |
| Mailing Telephone | 9012776101 |
| Mailing Fax Number | 9017292933 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
016414 | VA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000000344 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172542 | Lawrence Wilson | Counselor | 49 W 24th St Ste 507, New York, NY 10010-3206 | 2017-05-31 |
| 1841580974 | Lawrence Wilson | Pharmacist | 74 Tanbark Plaza, Lovingston, VA 22949-0318 | 2011-04-11 |
| 1528362662 | Lawrence Wilson | Nutritionist | 4950 S Indian Creek Rd, Prescott, AZ 86303-6180 | 2011-01-04 |
| 1366560518 | Lawrence Joe Wilson | Chiropractor | 10769 Woodside Ave, 109, Santee, CA 92071-3174 | 2007-03-27 |
| 1639229040 | Lawrence Woodrow Wilson | Family Medicine | 5701 Balloon Fiesta Parkway, Care of Blue Cross Blue Shield of New Mexico, Albuquerque, NM 87113 | 2007-01-11 |
| 1962633164 | Lawrence Eugene Wilson Jr. | Obstetrics & Gynecology | 535 Coliseum Dr, Macon, GA 31217-0104 | 2009-08-05 |
| 1982846028 | Lawrence Steven Wilson | Psychiatry & Neurology | 4422 E Columbus Dr., Tampa, FL 33605 | 2009-04-06 |
| 1760598940 | Lawrence Wade Wilson | Pharmacist | 275 Cumberland Bnd, Nashville, TN 37228-1805 | 2006-08-21 |
| 1700853439 | Lawrence H Wilson | Family Medicine | 9500 Mentor Ave, Suite 100, Mentor, OH 44060-8713 | 2006-03-01 |
| 1518951342 | Lawrence A Wilson | Emergency Medicine | 2200 W Illinois Ave, Midland, TX 79701-6407 | 2005-09-08 |
| Street Address |
1548 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1518441971 | Communityconnect | Counselor | 2555 Jeffries Cv, Memphis, TN 38133-5149 | 2018-09-21 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1013421130 | Melvin Thomas Norman Jr. | Counselor | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2017-11-28 |
| 1740731058 | Eurika Showers | Counselor | 4539 Winchester Rd Ste 111, Memphis, TN 38118-5100 | 2016-10-21 |
| 1639629942 | Chelsi Mcknuckles | Counselor | 4539 Winchester Rd, Suite 101, Memphis, TN 38118-5100 | 2016-10-11 |
| 1154871580 | Brenda Lang | Counselor | 2204 Labelle St, Memphis, TN 38114-5461 | 2016-10-10 |
| 1982159315 | Mufid Abdullah | Counselor | 719 Lydgate Rd, Memphis, TN 38116-5418 | 2016-08-15 |
| 1407208648 | Rosie Retic | Counselor | 6249 Scarletcrest Ln, Memphis, TN 38115-6411 | 2016-07-12 |
| Find all providers in MEMPHIS | ||||
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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.