MISS SANDRA ANN GRACE (NPI# 1194032763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194032763 |
| Entity Type | Individual |
| Full Name | MISS SANDRA ANN GRACE |
| Credential | LCAS |
| Practice Address |
3475 Airport Blvd Nw Ste. G Wilson NC 27896-8687 |
| Practice Telephone | 2522585303 |
| Practice Fax Number | 2522815006 |
| Mailing Telephone | 2522585303 |
| Mailing Fax Number | 2522815006 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |
| 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) |
1573 | NC | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | NC | Behavioral Health & Social Service Providers |
| Street Address |
3475 AIRPORT BLVD NW STE. G |
| City | WILSON |
| State | NC |
| Zip Code | 27896-8687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902186760 | Making Changes, Inc. | Community/Behavioral Health | 3475 Airport Blvd Nw, Ste. G, Wilson, NC 27896-8687 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841384 | Karen Yvette Johnson | Counselor | 2500 Saint Christopher Cir Sw Apt 1, Wilson, NC 27893-4474 | 2020-11-05 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1508303959 | Karlesia Tiara Montague | Counselor | 3701 Nash St Nw, Wilson, NC 27896-1127 | 2017-01-24 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1649640046 | Isaac Everette | Counselor | 618 Tarboro St E, Wilson, NC 27893-4050 | 2015-09-29 |
| 1255737334 | Keane Quantaze Sauls Sr. | Counselor | 1709 Centre St W, Wilson, NC 27893-2781 | 2014-11-17 |
| 1801224241 | Kairashia Boyce Rasberry | Counselor | 2506 Nash St N Unit B, Wilson, NC 27896-1393 | 2013-10-22 |
| 1952669426 | Anna Godwin | Counselor | 2407 Horton Blvd Sw Apt 1, Wilson, NC 27893-4477 | 2012-05-02 |
| 1164743662 | Michelle C Smith | Counselor | 3709 Nash St Nw, Wilson, NC 27896-1127 | 2010-06-18 |
| 1861650376 | Pamela Collie Thomas | Counselor | 101 Brentwood Center Ln N, Wilson, NC 27896-1710 | 2008-05-30 |
| Find all providers in WILSON | ||||
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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.