MR. WADE MIXON (NPI# 1164993804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164993804 |
| Entity Type | Individual |
| Full Name | MR. WADE MIXON |
| Credential | LCAS-A |
| Practice Address |
1480 Maple Grove Church Rd Dunn NC 28334-7692 |
| Mailing Address |
3331 Easy St Dunn NC 28334-7988 |
| Practice Telephone | 9105677155 |
| Mailing Telephone | 9105677067 |
| Mailing Fax Number | 9105675552 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| 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) |
23170 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1427087709 | 05 | |
| NC | N/A | 01 | 01 |
| Street Address |
1480 MAPLE GROVE CHURCH RD |
| City | DUNN |
| State | NC |
| Zip Code | 28334-7692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780639948 | Jody Lynne Suda | Social Worker | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2006-05-24 |
| 1922651025 | Clifton Curtis Smith | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-07-18 |
| 1891351045 | Shermin F Mcshine | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-05-14 |
| 1780247809 | Magniola Dure | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-04-15 |
| 1174930226 | Tri County Community Health Council Inc | Clinic/Center | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2014-07-21 |
| 1780091074 | Tri County Community Health Council Inc | Clinic/Center | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2014-07-18 |
| 1154627271 | Janet Negron Stroughton | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2011-02-07 |
| 1841503349 | Lee Abernathy | Social Worker | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2010-07-26 |
| 1649414517 | Tri County Community Health Council Inc. | Clinic/Center | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2009-04-23 |
| 1861517153 | George Carr | Social Worker | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1477009728 | Elizabeth Liles Mcgee Fegert | Speech-Language Pathologist | 111 S. Raiload Ave, Dunn, NC 28334 | 2016-08-28 |
| 1326407602 | Global Health Metrics, LLC | Clinic/Center | 726 Tilghman Drive, Dunn, NC 28334 | 2016-02-16 |
| 1902296015 | Amanda Weissman | Social Worker | 710 W Broad St, Dunn, NC 28334 | 2015-01-27 |
| 1861742462 | Southeastern Speciality Clinic | Physician Assistant | 520 Erwin Road, Dunn, NC 28334 | 2012-09-12 |
| 1558643551 | Alzheimer's Related Care of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd., Dunn, NC 28334 | 2011-09-15 |
| 1609177104 | Carenet, Inc. | Counselor | 1001 Plain View Hwy, Dunn, NC 28334 | 2010-11-15 |
| 1003042128 | Trust The Process Inc. | Home Health | 608 A West Broad St, Dunn, NC 28334 | 2009-06-03 |
| 1861655714 | Carolina Eye Associates Inc | Ophthalmology | 107 Hunt Drive, Dunn, NC 28334 | 2008-07-09 |
| Find all providers in zip 28334 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549229 | Passages To Recovery, LLC | Counselor | 201 N Wilson Avenue #d, Dunn, NC 28334 | 2020-02-05 |
| 1467735373 | Acclaim Counseling and Treatment Center LLC | Counselor | 904 W Broad St, Dunn, NC 28334-4100 | 2011-09-27 |
| 1518248137 | Grady Blue Jr. | Counselor | 39 Mar Joy Rd, Dunn, NC 28334-5070 | 2011-09-09 |
| 1841446101 | Program Resource Institute, Inc. | Counselor | 108 N Orange Ave, Dunn, NC 28334-3826 | 2008-08-18 |
| 1912552548 | Joanna Karelia Sanchez | Counselor | 3331 Easy St, Dunn, NC 28334-7988 | 2019-08-09 |
| 1922651025 | Clifton Curtis Smith | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-07-18 |
| 1891351045 | Shermin F Mcshine | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-05-14 |
| 1780247809 | Magniola Dure | Counselor | 1480 Maple Grove Church Rd, Dunn, NC 28334-7692 | 2019-04-15 |
| 1619449451 | Mary Frances Ringley | Counselor | 3331 Easy St, Dunn, NC 28334-7988 | 2018-12-18 |
| 1235625948 | Rosa Lee Robinson | Counselor | 3331 Easy St, Dunn, NC 28334-7988 | 2018-07-05 |
| Find all providers in DUNN | ||||
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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.