MR. SAMMY WILKERSON (NPI# 1376661157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376661157 |
| Entity Type | Individual |
| Full Name | MR. SAMMY WILKERSON |
| Credential | LPC/LADAC |
| Practice Address |
706 S. Bochardt Monticello AR 71655-9663 |
| Mailing Address |
153 Burnett Ln Monticello AR 71655-9274 |
| Practice Telephone | 8707237867 |
| Mailing Telephone | 8707237867 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0288L | AR | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
P1106045 | AR | Behavioral Health & Social Service Providers |
| Street Address |
706 S. BOCHARDT |
| City | MONTICELLO |
| State | AR |
| Zip Code | 71655-9663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1760991640 | Kristen Leigh Harvey | Registered Nurse | 162 University Heights Drive, Monticello, AR 71655 | 2017-09-24 |
| 1124578075 | Morgan Family Dentistry, Pllc | Dentist | 501 Hwy 425 South, Monticello, AR 71655 | 2016-10-04 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1487050076 | Sara Tucker | Speech-Language Pathologist | 178 W. College Street, Monticello, AR 71655 | 2014-11-10 |
| 1164859203 | Dustin Clint Eubanks | Chiropractor | 604 A West Bolling Street, Monticello, AR 71655 | 2013-10-03 |
| 1194009431 | Rebecca Shea Woodall | Social Worker | 600 Highway 425 North, Suite B, Monticello, AR 71655 | 2011-10-05 |
| 1568744522 | Britney Leigh Box | Occupational Therapist | 178 W College St, Monticello, AR 71655 | 2011-09-15 |
| 1740415611 | Julia Danielle Nicholson | Family Medicine | 906 Roberts Drive, Monticello, AR 71655 | 2009-05-21 |
| Find all providers in zip 71655 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376006 | Bridges Professional Counseling & Consulting LLC | Counselor | 1549 West Broad Street, Monticello, MS 39654-7700 | 2019-06-21 |
| 1396237517 | Kendra M Patton | Counselor | 179 W Evelyn Ave, Monticello, KY 42633-1511 | 2018-06-04 |
| 1790008134 | William Eric Johnson | Counselor | 1125 Cedar St Ste 117, Monticello, MN 55362-4411 | 2010-03-11 |
| 1730311408 | Dwan C Cole | Counselor | 1549 W Broad St, Monticello, MS 39654-3658 | 2009-08-14 |
| 1194851881 | Louanna Werchan Miller | Counselor | 619 N State St, Monticello, IL 61856-1431 | 2007-02-26 |
| 1659989093 | Melanie Ada Ball | Counselor | 157 N Main St, Monticello, KY 42633-1437 | 2020-07-22 |
| 1942828207 | Gerald Benjamin Calhoun II | Counselor | 50 David Rd, Monticello, FL 32344-5113 | 2020-07-13 |
| 1821584863 | Ashley Crain | Counselor | 1921 N Market St, Monticello, IL 61856-8144 | 2018-07-02 |
| 1740645720 | Marie Fisher | Counselor | 407 Washington St, Monticello, MN 55362-8815 | 2015-12-17 |
| 1710375803 | Elizabeth Boston | Counselor | 735 W Columbia Ave, Monticello, KY 42633-1627 | 2014-12-26 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 71655 |
Please comment or provide details below to improve the information on MR. SAMMY WILKERSON.
| 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.