MRS. AMANDA L WILSON (NPI# 1376634659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376634659 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA L WILSON |
| Credential | MBA, CADC |
| Practice Address |
Region IIi Mental Health Center 920 Boone Street Tupelo MS 38804 |
| Mailing Address |
1196 Palmetto Road Tupelo MS 38804 |
| Practice Telephone | 6628443531 |
| Practice Fax Number | 6628441757 |
| Mailing Telephone | 6625662551 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
02-0028W | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002883 | Amanda L Wilson | Registered Nurse | 17444 Q Dr N, Marshall, MI 49068-9418 | 2020-08-04 |
| 1932748217 | Amanda R Wilson | Homemaker | 312 Flint St, Haines City, FL 33844-8219 | 2020-01-03 |
| 1861043119 | Amanda L Wilson | Social Worker | 3034 St Armand Rd, Swanton, VT 05488-8737 | 2019-09-26 |
| 1124679899 | Amanda Wilson | Counselor | 3707 Main St # 5, College Park, GA 30337-3544 | 2019-09-24 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1306392238 | Amanda Wilson | Dentist | 2134 State Route 208, Montgomery, NY 12549-2613 | 2016-08-31 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1265887608 | Amanda Wilson | Speech-Language Pathologist | 4031 San Fernando Ln, Saint Charles, MO 63304-2831 | 2016-05-03 |
| Street Address |
REGION III MENTAL HEALTH CENTER 920 BOONE STREET |
| City | TUPELO |
| State | MS |
| Zip Code | 38804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982708525 | Joanne Rolla Brown | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-12 |
| 1578654851 | Alena Bess Tyre-littlejohn | Psychiatry & Neurology | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1962593251 | Deborah Mcmorris Sharp | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1700977089 | Charmen Leigh Shoemaker | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1982795274 | Debbie Lynn Banko | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1679664965 | Debra Kaye Smith | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1003907395 | Dorothy Elder Ford | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1912098203 | Rita Diane Weatherford | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1821189119 | Donna Raquel Rosamond | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| 1700977006 | Erica W Golden | Counselor | Region IIi Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804-6942 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757678 | Mae Grace Arrington | Counselor | 4428 S Eason Blvd Ste B, Tupelo, MS 38801-6506 | 2014-07-08 |
| 1871684167 | Deborah Ann Lankford | Counselor | Region IIi Mental Health Center-cds, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1902997281 | Amelia T Ladreyt | Counselor | Region IIi Mental Health-chemical Depency Services, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1619068996 | Danny B Mcbrayer | Counselor | Region IIi Mental Health-chemical Dependency Services, 920 Boone Street, Tupelo, MS 38804 | 2006-09-28 |
| 1730280397 | Vernard R Jones | Counselor | 920 Boone St, Tupelo, MS 38804-5908 | 2006-09-26 |
| 1114554912 | Micheal Byles | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-03-24 |
| 1588203798 | Christy Lindsey | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-01-06 |
| 1447775879 | Clint Crawford | Counselor | 920 Boone St, Tupelo, MS 38804-5908 | 2017-08-07 |
| 1225444573 | Patricia Baggett | Counselor | 4579 S Eason Blvd, Tupelo, MS 38801-6539 | 2014-07-08 |
| 1659797819 | Porter Mckee | Counselor | 341 E Main St, A-1, Tupelo, MS 38804-4025 | 2014-03-12 |
| Find all providers in TUPELO | ||||
Please comment or provide details below to improve the information on MRS. AMANDA L WILSON.
| 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.