MS. KARLESIA TIARA MONTAGUE (NPI# 1508303959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508303959 |
| Entity Type | Individual |
| Full Name | MS. KARLESIA TIARA MONTAGUE |
| Credential | MS, LPCA, LCASA, NCC |
| Practice Address |
3701 Nash St Nw Wilson NC 27896-1127 |
| Mailing Address |
1008 Windward Psge Knightdale NC 27545-9430 |
| Practice Telephone | 2526741812 |
| Practice Fax Number | 2526741849 |
| Mailing Telephone | 9198192447 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21522 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
A12394 | NC | Behavioral Health & Social Service Providers |
| Street Address |
3701 NASH ST NW |
| City | WILSON |
| State | NC |
| Zip Code | 27896-1127 |
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548715352 | Hannah Tullar | Counselor | 2416 Bedgood Dr Sw, Wilson, NC 27893-8515 | 2016-08-22 |
| 1497153399 | Duwanda Epps | Counselor | 1858 E Trail Dr Se, Wilson, NC 27893-8732 | 2014-12-09 |
| 1285986653 | Beverly Lucille Little | Counselor | 3701 Ashbrook Dr Nw, Wilson, NC 27896-7620 | 2012-10-10 |
| 1346505922 | Mellissa Lynn Coyle | Counselor | 704 College St Ne, Wilson, NC 27893-3104 | 2012-07-10 |
| 1437419348 | Stepping Stones Community Resources, Incorporated | Counselor | 3904 Airport Dr Nw Ste A, Wilson, NC 27896-8040 | 2012-05-24 |
| 1922314400 | Rasheede Hicks | Counselor | 2509 Nash St Nw, Wilson, NC 27896-1311 | 2010-08-23 |
| 1477883940 | Renee Evans Kerns | Counselor | 2000 W Nash Street, Suite D, Wilson, NC 27893-1724 | 2010-01-06 |
| 1770819849 | Amy Grassi Watson | Counselor | 4213 Britthill Ln, Wilson, NC 27893-8146 | 2009-10-26 |
| 1720285505 | Kimberly Dawn Powell | Counselor | 1749 Hewitt Rd, Wilson, OK 73463-1875 | 2007-06-27 |
| 1083754527 | Easter Seals Ucp Asap Inc | Counselor | 3101 Ward Blvd, Suite B, Wilson, NC 27893-1729 | 2007-02-07 |
| 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.