DEMETRICE WILSON (NPI# 1700120409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700120409 |
| Entity Type | Individual |
| Full Name | DEMETRICE WILSON |
| Credential | LCAS-A |
| Practice Address |
132 W Main St Williamston NC 27892-2472 |
| Practice Telephone | 2527927812 |
| Practice Fax Number | 2527927812 |
| Mailing Telephone | 2527927812 |
| Mailing Fax Number | 2527927812 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2888-A | NC | Behavioral Health & Social Service Providers |
| Street Address |
132 W MAIN ST |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992085963 | Elite Care Inc | Community/Behavioral Health | 132 W Main St, Williamston, NC 27892-2472 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1578719712 | Martin County Residential Services | Community/Behavioral Health | 6003 W. Main Street, Williamston, NC 27892 | 2008-08-07 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1124168141 | Martin County Residential Services Inc. | Case Manager/Care Coordinator | 6003 West Main Street, Williamston, NC 27892 | 2007-02-07 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| Find all providers in zip 27892 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1295271039 | Milestone Innovative Services | Counselor | 618 E Boulevard, Williamston, NC 27892-2736 | 2017-01-18 |
| 1952545212 | Jeannie Hollis | Counselor | 1690 Kehukee Park Rd, Williamston, NC 27892-8656 | 2009-04-29 |
| 1528091972 | Waterside Therapy Associates, P.l.l.c. | Counselor | 110 Baltimore St, Williamston, NC 27892-2462 | 2006-07-09 |
| 1063074813 | Desiree Sharnel Rodgers | Counselor | 607 Washington St, Williamston, NC 27892-2645 | 2019-07-02 |
| 1104275395 | My Life Matters,llc | Counselor | 900 Greenville Dr, Suite B, Williamston, SC 29697-1130 | 2016-06-08 |
| 1831557792 | Jessica Morris | Counselor | 607 Washington St, Williamston, NC 27892-2645 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710710 | Sandra G Inkrote | Counselor | 2599 Lower Moncure Rd, Sanford, NC 27330-9221 | 2020-11-08 |
| 1780285858 | Michelle Tennant | Counselor | 4140 Dudleys Grant Dr Apt C, Winterville, NC 28590-8342 | 2020-11-05 |
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1417558834 | Oak Path Counseling Group, Pllc | Counselor | 4285 Highway 24 27 E Ste D, Midland, NC 28107-8505 | 2020-11-03 |
| 1073114666 | Amanda Elaine Richardson | Counselor | 352 W Goldeneye Ln, Sneads Ferry, NC 28460-8096 | 2020-11-02 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1689274292 | Transformation Counseling & Consulting | Counselor | 7906 Hogan Dr, Wake Forest, NC 27587-6659 | 2020-11-01 |
| 1679173280 | Rachel Lynn Willms | Counselor | 17 Green Valley Ln, Jackson Springs, NC 27281-9798 | 2020-11-01 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
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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.