MRS. LILLIAN CLEMONS WILSON (NPI# 1699045260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699045260 |
| Entity Type | Individual |
| Full Name | MRS. LILLIAN CLEMONS WILSON |
| Credential | MA, LPC, NCC, MAC |
| Practice Address |
714 28th Ave Tuscaloosa AL 35401-1821 |
| Mailing Address |
7 Country Club Ln Tuscaloosa AL 35401-2531 |
| Practice Telephone | 2052422303 |
| Mailing Telephone | 2052422302 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
07355 | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
50673 | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
1572 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336704345 | Lillian Wilson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-05-06 |
| 1538489117 | Lillian June Wilson | Technician/Technologist | 385 W Wesmark Blvd, Sumter, SC 29150-1987 | 2010-06-07 |
| 1700801743 | Lillian Powell Wilson | Occupational Therapist | 5601 Bridge St, Fort Worth, Fort Worth, TX 76112-2384 | 2006-07-12 |
| Street Address |
714 28TH AVE |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407275 | Kimberly Jenkins-richardson | Counselor | 2032 Lenox Dr, Tuscaloosa, AL 35405-7446 | 2020-08-11 |
| 1326661117 | Julie Elizabeth Vence | Counselor | 1030 Fairfax Park Ste C, Tuscaloosa, AL 35406-2806 | 2020-05-27 |
| 1093351629 | Tidal Counseling LLC | Counselor | 1490 Northbank Pkwy Suite 248, Tuscaloosa, AL 35406-2439 | 2019-11-19 |
| 1447810015 | Hope Grows Center for Counseling LLC | Counselor | 1030 Fairfax Dr Ste C, Tuscaloosa, AL 35406-2819 | 2019-06-17 |
| 1245701697 | Greer Fawley | Counselor | 2805 7th St, Tuscaloosa, AL 35401-1807 | 2018-12-11 |
| 1518472042 | Melanie Brooke Childers | Counselor | 420 28th Ave Ste 200, Tuscaloosa, AL 35401-1089 | 2017-12-06 |
| 1528505518 | Robin Maddox | Counselor | 402 Riverdale Dr, Tuscaloosa, AL 35406-1815 | 2017-01-27 |
| 1881026722 | Dallas Rabig | Counselor | 300 Old Bridge Rd, Tuscaloosa, AL 35405-9676 | 2013-08-02 |
| 1679811053 | Michelle Piper | Counselor | 2301 Fairfax Ln, Tuscaloosa, AL 35406-2802 | 2013-01-20 |
| 1396007332 | April J. Upshaw | Counselor | 5100 36th Ave E Apt 2608, Tuscaloosa, AL 35405-5347 | 2012-06-14 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on MRS. LILLIAN CLEMONS 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.