MS. RENEE BERNICE WILSON (NPI# 1821599820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599820 |
| Entity Type | Individual |
| Full Name | MS. RENEE BERNICE WILSON |
| Credential | LCMHC, NCC, LCASA |
| Practice Address |
806 Hay St Fayetteville NC 28305-5312 |
| Mailing Address |
6307 Melody Ln Fayetteville NC 28304-5554 |
| Practice Telephone | 9108607008 |
| Practice Fax Number | 9102219006 |
| Mailing Telephone | 9109640075 |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2020-08-03 |
| 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) |
LCAS-23882 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
13489 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417308909 | Renee Tanya Wilson | Counselor | 5535 Harvard Rd, Detroit, MI 48224-2163 | 2016-06-26 |
| 1386885549 | Renee Nichole Wilson | Speech-Language Pathologist | 2301 Research Blvd Ste 110, Rockville, MD 20850-6250 | 2009-03-18 |
| 1467653014 | Renee D Wilson | Nurse Practitioner | 825 Graham Rd, Benton, AR 72015-8975 | 2007-05-30 |
| 1033202452 | Renee Proctor Wilson | Midwife | 1400 N Laventure Rd, Mount Vernon, WA 98273-2766 | 2006-09-30 |
| 1154949626 | Renee J Wilson | Counselor | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2020-07-10 |
| 1720528631 | Renee Wilson | Nurse Practitioner | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2017-02-27 |
| 1407229024 | Renee Marie Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2015-11-04 |
| 1780074492 | Renee Wilson | Pharmacy Technician | 7400 Bustleton Ave, Philadelphia, PA 19152-4312 | 2015-02-02 |
| 1750789590 | Renee Wilson | Social Worker | 30000 Hiveley St, Inkster, MI 48141-1089 | 2014-12-10 |
| 1174923692 | Renee Wilson | Registered Nurse | 10065 E Harvard Ave, Denver, CO 80231-5968 | 2014-09-03 |
| Street Address |
806 HAY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28305-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336101294 | Christopher John Ketchman | Psychologist | 806 Hay St, Fayetteville, NC 28305 | 2006-04-05 |
| 1356940571 | Jennifer Griffin | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-10-19 |
| 1205448289 | Lindsay Frye | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-08-20 |
| 1538778642 | Annie L Conde-williams | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-07-24 |
| 1417582545 | Latoya Harley-dowden | Nurse Practitioner | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-03-09 |
| 1154955722 | Ariane Nicole Clancy | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-02-23 |
| 1801426135 | Amy Cox | Counselor | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-26 |
| 1760021992 | Elizabeth Keltner | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-06 |
| 1144869421 | Mandi Danielle Cauley | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-01-03 |
| 1093367914 | Sarah Brooke Honald | Social Worker | 806 Hay St, Fayetteville, NC 28305-5312 | 2019-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437637733 | Shannon S Wiggins | Social Worker | 2525 Raeford Rd Ste A, Fayetteville, NC 28305 | 2018-07-30 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1336533116 | Avalon Counseling Services Pa | Counselor | 916 B Arsenal Ave, Fayetteville, NC 28305 | 2015-03-19 |
| 1568882827 | Kenneth Brown | Counselor | 901 Arsenal Avenue, Suite, Fayetteville, NC 28305 | 2014-04-24 |
| 1174879423 | Lynette Maxwell Pierce | Dentist | 2537-b Raeford Rd, Fayetteville, NC 28305 | 2012-07-24 |
| 1356640973 | Charlene Jones | Social Worker | 560 Lambert St, Fayetteville, NC 28305 | 2011-03-22 |
| 1659518173 | Christine R Campbell | Speech-Language Pathologist | 2401 Roberson Street, Fayettville, NC 28305 | 2009-01-21 |
| 1588814628 | Zakiya S Karim | Pediatrics | 1327 Robeson Street, Fayetteville, NC 28305 | 2008-09-25 |
| 1710134770 | Bright Heart Healthcare Staffing | Nursing Care | 2504 Rareford Rd, Fayetteville, NC 28305 | 2008-08-21 |
| 1730272402 | Dale A Childers | Dentist | 2409 Robeson Street, Fayetteville, NC 28305 | 2006-10-02 |
| Find all providers in zip 28305 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28305 |
Please comment or provide details below to improve the information on MS. RENEE BERNICE 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.