MS. ETOY WILSON


Address: 2616 Nicollet Ave, Minneapolis, MN 55408-1628
Phone: 6128717878

MS. ETOY WILSON (NPI# 1922331149) 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) 1922331149
Entity Type Individual
Full Name MS. ETOY WILSON
Practice Address 2616 Nicollet Ave
Minneapolis
MN 55408-1628
Practice Telephone 6128717878
Practice Fax Number 6128712567
Mailing Telephone 6128717878
Mailing Fax Number 6128712567
Enumeration Date 2009-09-08
Last Update Date 2009-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
300384 MN Behavioral Health & Social Service Providers

Office Location

Street Address 2616 NICOLLET AVE
City MINNEAPOLIS
State MN
Zip Code 55408-1628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013925510 African American Family Services Case Management 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2006-08-03
1366870586 Brandon Lavell Jones Counselor 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2013-10-25
1548534845 Chezron Ford Counselor 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2012-03-05
1013226513 Joleen F. Jones Counselor 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2010-09-30
1376859660 African American Family Services Health Maintenance Organization 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2010-08-24
1861708539 Amanda Dawn Maria Borde Social Worker 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2010-08-19
1639336159 Aliduh Jamal Shireh Counselor 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2008-05-21
1497922678 David Lee Holloway Case Manager/Care Coordinator 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2008-05-15
1124295449 Sean C. Lewin Counselor 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2008-05-15
1124295951 African American Family Services Community/Behavioral Health 2616 Nicollet Ave, Minneapolis, MN 55408-1628 2008-05-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548870512 Community Solutions Services Inc Counselor 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 2020-08-05
1356962740 Mohammad Mushtaq Khandwala Student in an Organized Health Care Education/Training Program 2810 Nicollet Avenue South, Minneapolis, MN 55408 2020-04-27
1861012700 Open Arms Group Home LLC Nursing Care 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 2020-04-21
1538710413 Yuejuan Bian Acupuncturist 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 2019-09-23
1710536081 Blu Care Inc Clinic/Center 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 2019-09-09
1417510165 Kau Macador Queeglay Counselor 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 2019-04-18
1346735875 Nicole S Ehrenberg Social Worker 324 E 35th Street, Minneapolis, MN 55408 2018-06-27
1639681612 American Family Transportation Inc Non-emergency Medical Transport (VAN) 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 2017-10-30
1285181743 Multilingual Word Inc Interpreter 1431 W 32nd St, Minneapolis, MN 55408 2016-09-01
1376906388 Sama Healthcare Family Medicine 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 2016-03-29
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1366056392 Brianna Connor Counselor 2450 Riverside Ave Bldg Suite140, Minneapolis, MN 55454-1450 2020-09-08
1144831959 Brian James Rose Counselor 5061 Lyndale Ave S, Minneapolis, MN 55419-1215 2020-08-14
1740891688 Jennifer Twa Counselor 2104 Stevens Ave, Minneapolis, MN 55404-2533 2020-08-13
1568072254 Marian Margaret Spiess Counselor 2200 1st Ave S, Minneapolis, MN 55404-3401 2020-08-06
1689201352 Alyssa Mary Nyberg Counselor 2960 Winnetka Ave N Ste 1010, Minneapolis, MN 55427-2853 2020-03-24
1497392666 Kristine Geraldine Hanson Counselor 2611 40th Ave S, Minneapolis, MN 55406-1862 2019-12-05
1265080501 Carolyn J Niesche Counselor 2518 N 2nd St Ste 113, Minneapolis, MN 55411-2259 2019-08-29
1053966069 Shane Jensen Counselor 610 22nd Ave S, Minneapolis, MN 55454-1315 2019-08-06
1114584760 Lynn Marie Allar Counselor 2200 E Franklin Ave Ste 200a, Minneapolis, MN 55404-2395 2019-05-20
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Competitor

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City MINNEAPOLIS
Zip Code 55408

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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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