MS. WANDA TERESA WILLIAMS (NPI# 1144222845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144222845 |
| Entity Type | Individual |
| Full Name | MS. WANDA TERESA WILLIAMS |
| Credential | MS, LCAS |
| Practice Address |
327 N Queen St Suite 110 Kinston NC 28501-4984 |
| Mailing Address |
327 N Queen St Suite110 Kinston NC 28501-4984 |
| Practice Telephone | 2525228002 |
| Practice Fax Number | 2525231685 |
| Mailing Telephone | 2525228002 |
| Mailing Fax Number | 2525231685 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
6111762 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 169VR | 01 |
| NC | 6111762 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083069413 | Wanda Lisam Williams | Counselor | 1617 Gregg Ave Apt B, Florence, SC 29501-3107 | 2016-05-04 |
| 1124404553 | Wanda Marie Williams | Contractor | 4104 Woodhall St, Detroit, MI 48224-2221 | 2015-08-07 |
| 1639484652 | Wanda Lacarol Williams | Counselor | 6570 N 80th St, 208#, Milwaukee, WI 53223-5579 | 2010-08-13 |
| 1700061256 | Wanda Lynn Williams | Registered Nurse | 11498 Leatherleaf Rd, Fontana, CA 92337-1022 | 2008-01-03 |
| 1528256559 | Wanda Williams IIi | Case Manager/Care Coordinator | 2113 N Charles St, Baltimore, MD 21218-5710 | 2007-10-03 |
| 1194848564 | Wanda Deal Williams | Counselor | 4855 Pleasant Place Rd, Salisbury, NC 28147-8343 | 2007-04-09 |
| 1083772362 | Wanda Elizabeth Williams | Home Health Aide | 2033 Kylemore Dr, Xenia, OH 45385-3933 | 2006-12-05 |
| 1427681832 | Wanda Williams | Licensed Practical Nurse | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-02-14 |
| 1952865719 | Wanda Jean Williams | Counselor | 2504 W Manchester Blvd, Inglewood, CA 90305-2520 | 2019-01-25 |
| 1538661913 | Wanda Arlene Williams | Technician | 801 S Rancho Dr Ste E2b, Las Vegas, NV 89106-3812 | 2018-03-01 |
| Street Address |
327 N QUEEN ST SUITE 110 |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679829014 | Empowerment & Recovery Services,inc. | Counselor | 327 N Queen St, Suite 110, Kinston, NC 28501-4984 | 2012-08-02 |
| 1023349479 | Felicia L Legette | Behavioral Analyst | 327 N Queen St, Kinston, NC 28501-4984 | 2010-01-26 |
| 1790974517 | Destiny Health Services, LLC | Nursing Care | 327 N Queen St, Ste. 306, Kinston, NC 28501-4984 | 2007-10-17 |
| 1023217270 | Dove Personal Care Services, LLC | Community/Behavioral Health | 327 N Queen St, Ste. 306, Kinston, NC 28501-4984 | 2007-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992889 | Sarah Elizabeth Baker | Counselor | 3880 Hwy 258 N, Kinston, NC 28504-9054 | 2020-08-12 |
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1518332311 | Curtis Henderson Jr. | Counselor | 900 Paylor Dr, Kinston, NC 28501-1847 | 2015-12-04 |
| 1154707420 | Rachel Stauty Cox | Counselor | 2902 N Herritage St Ste A, Kinston, NC 28501-1580 | 2015-08-10 |
| 1821411240 | James Cox Jr. | Counselor | 903 E Caswell St, Same, Kinston, NC 28501-5105 | 2014-01-22 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| 1225312200 | Kendrick Britton Sr. | Counselor | 815 Hardee Rd, Kinston, NC 28504-3320 | 2011-10-07 |
| 1447558432 | Coley Laws Hood | Counselor | 702 College St, Kinston, NC 28501-4220 | 2011-03-01 |
| Find all providers in KINSTON | ||||
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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.