ANGELA WILKERSON


Address: 1705 N Fm 179, Lubbock, TX 79416-9441
Phone: 8067978003

ANGELA WILKERSON (NPI# 1417468968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417468968
Entity Type Individual
Full Name ANGELA WILKERSON
Credential LCDC-I
Practice Address 1705 N Fm 179
Lubbock
TX 79416-9441
Mailing Address 1715 26th St
Lubbock
TX 79411-1524
Practice Telephone 8067978003
Practice Fax Number 8067808383
Mailing Telephone 8067808300
Mailing Fax Number 8067808383
Enumeration Date 2017-10-23
Last Update Date 2017-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
30139 TX Behavioral Health & Social Service Providers

Other Providers ANGELA WILKERSON

NPI Name Taxonomy Address Enumeration
1194019042 Angela Wilkerson Pharmacist 40 Thf Blvd, Chesterfield, MO 63005-1150 2011-06-07

Office Location

Street Address 1705 N FM 179
City LUBBOCK
State TX
Zip Code 79416-9441

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831422609 John D Brown Counselor 1705 N Fm 179, Lubbock, TX 79416 2009-09-11
1710499827 Ann Herrera Counselor 1705 N Fm 179, Lubbock, TX 79416-9441 2017-10-30
1538671813 Maria Stella Borromeo Counselor 1705 N Fm 179, Lubbock, TX 79416-9441 2017-10-26
1023370491 Olga T Mercado Counselor 1705 N Fm 179, Lubbock, TX 79416-9441 2012-06-12
1790043404 Managed Care Center for Addictive and Other Disorders Inc Point of Service 1705 N Fm 179, Lubbock, TX 79416-9441 2012-05-01
1518274448 Lindsey E Tibbets Counselor 1705 N Fm 179, Lubbock, TX 79416-9441 2010-09-14
1508199225 Danny Lin Caddell Counselor 1705 N Fm 179, Lubbock, TX 79416 2009-09-14
1750614525 Gary Richardson Counselor 1705 N Fm 179, Lubbock, TX 79416-9441 2009-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710502174 Jordan Lane Thompson Pharmacist 6313 4th Street, Lubbock, TX 79416 2020-06-11
1821636481 Chieh-an Chou Specialist/Technologist 201 N Winston Ave, Lubbock, TX 79416 2019-12-13
1790341949 Michael Mcpherson, M.d. P.a. Internal Medicine 5406 Colgate St, Lubbock, TX 79416 2019-05-14
1154893675 South Plains Rehabilitation Hospital, LLC Rehabilitation Hospital 5406 Colgate Street, Lubbock, TX 79416 2018-12-21
1932697182 Timothy Sampana Student in an Organized Health Care Education/Training Program 5217 Lehigh St, Lubbock, TX 79416 2018-04-24
1306347711 4th Street Dental, Pllc Dentist 5709 4th St, Lubbock, TX 79416 2018-02-22
1639682503 South Plains Surgery Center LLC Clinic/Center 4412 6th Street, Lubbock, TX 79416 2017-11-14
1013459809 Isabel Garcia Occupational Therapy Assistant 1717 Northfolk Ave, #a, Lubbock, TX 79416 2016-11-09
1033589213 Rehab Care Skilled Nursing Facility 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 2015-10-01
1902281306 Carrillon Clinic/Center 1717 Norfold Bld A, Lubbock, TX 79416 2015-07-27
Find all providers in zip 79416

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881209633 Latia Green Scherpereel Counselor 4204 49th St, Lubbock, TX 79413-3722 2020-09-09
1851861439 Zachery Brian Sneed Counselor 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 2018-11-27
1447762414 Diana L. Lorber Counselor 4913 S Loop 289, Lubbock, TX 79424-1630 2017-10-31
1881065100 Billy Don Huey Counselor 1804 E 2nd St, Lubbock, TX 79403-4016 2015-10-13
1396111977 Jessica Ann Murphy Counselor 2325 93rd Pl, Lubbock, TX 79423-4423 2015-08-18
1114287992 John Allen Shiflet Counselor 1709 N Fm 179, Lubbock, TX 79416 2012-05-25
1659668481 William Harris Counselor 1705 N. Fm. 179, Lubbock, TX 79416 2011-06-30
1508152901 Lilian Francisca Hayes Counselor 2345 50th St., Lubbock, TX 79412 2011-06-23
1215222633 Casey Wilson Counselor 1705 N. Fm 179, Lubbock, TX 79416 2011-06-14
1861787285 Sarah Delacruz Counselor 2345 50th Street, Lubbock, TX 79412 2011-06-14
Find all providers in LUBBOCK

Competitor

Search similar providers

City LUBBOCK
Zip Code 79416

Improve Information

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Dataset Information

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.

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