VICTOR JONES RUSSELL (NPI# 1164563417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164563417 |
| Entity Type | Individual |
| Full Name | VICTOR JONES RUSSELL |
| Other Name | MRS. SHARITA LAWSON |
| Credential | LCAS, CSAC |
| Practice Address |
116 W Main St Wallace NC 28466-2902 |
| Mailing Address |
230 Spring Dr Jacksonville NC 28540-9161 |
| Practice Telephone | 9102855527 |
| Practice Fax Number | 9102855526 |
| Mailing Telephone | 9102855527 |
| Mailing Fax Number | 9102855526 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0558 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366455610 | Victor Dale Russell | Physical Therapist | 7693 Highway 72 W, Madison, AL 35758-8750 | 2006-08-15 |
| Street Address |
116 W MAIN ST |
| City | WALLACE |
| State | NC |
| Zip Code | 28466-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740552181 | A Time of Refreshing Salon and Day Spa, LLC | Massage Therapist | 116 W Main St, Wallace, NC 28466-2902 | 2012-02-01 |
| 1447470679 | The Lawsons House | Counselor | 116 W Main St, Wallace, NC 28466-2902 | 2007-04-30 |
| 1871713008 | The Lawson's House | Case Management | 116 W Main St, Wallace, NC 28466-2902 | 2007-04-30 |
| 1285760256 | The Lawson's House | Community/Behavioral Health | 116 W Main St, Wallace, NC 28466-2902 | 2007-02-26 |
| 1285718460 | The Lawson's House | Residential Treatment Facility, Emotionally Disturbed Children | 116 W Main St, Wallace, NC 28466-2902 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326518630 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 114 N Northwood St, Wallace, NC 28466 | 2018-11-29 |
| 1659891232 | Tonia Gray | Registered Nurse | 407 Fremont Street, Burgaw, NC 28466 | 2017-06-23 |
| 1164968889 | Angela Boney | Pharmacist | 5625 S Nc Hwy 41, Wallace, NC 28466 | 2017-01-19 |
| 1790111961 | Realo Discount Drug Stores of Enc, Inc | Pharmacy | 5655 S Nc 41 Hwy, Wallace, NC 28466 | 2013-09-19 |
| 1699938993 | The Lawsons House | Clinic/Center | 116 West Main St, Wallace, NC 28466 | 2008-07-07 |
| 1184842098 | Continuum Care Corporation | Assisted Living Facility | 1052 Ne Railroad St., Wallace, NC 28466 | 2007-04-23 |
| 1467677229 | Pigfords Physical Therapy Assoc Inc | Physical Therapist | 112 E Medical Village Dr, Wallace, NC 28466 | 2007-04-16 |
| 1598875379 | Wilson Family Pharmacies Inc | Pharmacy | 116 East Main St, Wallace, NC 28466 | 2006-08-30 |
| 1659317394 | Axon Darren Sholar | Dentist | 522 S Norwood St, Wallace, NC 28466 | 2006-06-21 |
| 1083121396 | Kelsey Lynn Vallee | Pharmacist | 5717 S Nc 41 Hwy, Wallace, NC 28466 | 2018-01-08 |
| Find all providers in zip 28466 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668043 | Hope and Wellness Counseling Pllc | Counselor | 4017 S Nc Highway 11, Wallace, NC 28466-6111 | 2020-10-26 |
| 1447470679 | The Lawsons House | Counselor | 116 W Main St, Wallace, NC 28466-2902 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1205436268 | Josette Hoffman Skinner | Counselor | 51 Park Dr Sw, Concord, NC 28027-7029 | 2020-10-29 |
| 1962002931 | Mind Over Mood | Counselor | 115 Carlos Drive, Garysburg, NC 27831 | 2020-10-29 |
| 1205436730 | Joy Elise Chiles | Counselor | 8505 Mount Valley Ln, Raleigh, NC 27613-6931 | 2020-10-26 |
| 1588264006 | Jocelyn S Whitfield | Counselor | 1279 William Beale Rd, Pendleton, NC 27862-7015 | 2020-10-26 |
| 1225637796 | Cindy Verdoorn | Counselor | 10831 Pineville Rd Unit 9, Pineville, NC 28134-8137 | 2020-10-25 |
| 1700485430 | Travis William Richardson | Counselor | 3 Doctors Park Ste 3g, Asheville, NC 28801-4531 | 2020-10-23 |
| 1952900615 | Eastern Trauma & Recovery Counseling Service | Counselor | 11814 Us 64a, Spring Hope, NC 27882-9637 | 2020-10-22 |
| 1790383453 | Sabrina Schotte Cook | Counselor | 10126 N Us Highway 421, Clinton, NC 28328-0271 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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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.