CANDICE WILSON (NPI# 1508086935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508086935 |
| Entity Type | Individual |
| Full Name | CANDICE WILSON |
| Credential | LPC |
| Practice Address |
900 Shugart Rd Dalton GA 30720 |
| Mailing Address |
51 Willowind Ln Ringgold GA 30736-3281 |
| Practice Telephone | 7062705100 |
| Practice Fax Number | 7062705066 |
| Mailing Telephone | 4236821453 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2018-09-13 |
| 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) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
010346 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2347 Rossville Blvd, Chattanooga, TN 374082250 | 4232653122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609314061 | Candice Melody Wilson | Nurse Practitioner | 1186 Cypress Glen Cir, Kissimmee, FL 34741-7560 | 2017-02-06 |
| 1902282478 | Candice Wilson | Occupational Therapy Assistant | 82824 Crawford Dr, Indio, CA 92201-7491 | 2015-08-06 |
| 1396379004 | Candice L Wilson | Counselor | 11057 Turfgrass Way, Indianapolis, IN 46236-8320 | 2020-03-03 |
| 1902304439 | Candice Newton Wilson | Physical Therapist | 3708 Northside Dr, Macon, GA 31210-2404 | 2018-01-30 |
| 1326257189 | Candice Lynn Wilson | Speech-Language Pathologist | 97 Preston Rd, Griswold, CT 06351-2516 | 2007-05-21 |
| 1215997028 | Candice Lynn Wilson | Specialist | 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 | 2006-03-24 |
| Street Address |
900 SHUGART RD |
| City | DALTON |
| State | GA |
| Zip Code | 30720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699847616 | Madhubala A Patel | Psychiatry & Neurology | 900 Shugart Rd, Dalton, GA 30720-2467 | 2006-11-14 |
| 1790249589 | Sherrie Dunaway | Nurse Practitioner | 900 Shugart Rd, Dalton, GA 30720-2467 | 2019-01-25 |
| 1629558879 | Season Flores | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2018-08-17 |
| 1497270961 | Sean Sweet | Pharmacist | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-08-07 |
| 1952841025 | Kauri Tallant | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2017-03-08 |
| 1194176057 | Oscar Holliday | Community Health Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-06-22 |
| 1194179655 | Ashley Stevens | Case Manager/Care Coordinator | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-04-20 |
| 1659731552 | Seth Klinehoffer | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-03-04 |
| 1790144376 | Barbara Ward | Social Worker | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-11 |
| 1215395454 | Glennys Soraya Febles | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215395454 | Glennys Soraya Febles | Counselor | 900 Shugart Rd, Dalton, GA 30720-2467 | 2016-02-02 |
| 1659745966 | Janet Wynn | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2015-11-24 |
| 1386018695 | Freda Henderson | Counselor | 1401 Applewood Dr, Dalton, GA 30720-2699 | 2015-11-24 |
| 1376819839 | Jordana Elizabeth Swanson | Counselor | 2615 Cleveland Hwy, Dalton, GA 30721-8160 | 2012-03-29 |
| 1316967052 | Annette Selsavage Stout | Counselor | 1217 Memorial Dr, Dalton, GA 30720-2535 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.