CLARENCE J WILSON (NPI# 1972929636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972929636 |
| Entity Type | Individual |
| Full Name | CLARENCE J WILSON |
| Practice Address |
4209 Lakeland Dr Ste 204 Flowood MS 39232-9212 |
| Practice Telephone | 9193892249 |
| Mailing Telephone | 9193892249 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033496245 | Clarence Carl Wilson | Counselor | 15055 Vista Rd. Ste 5, Box 1292, Helendale, CA 92342 | 2011-11-16 |
| 1992074876 | Clarence Elwood Wilson Jr. | Psychologist | 14901 Central Ave, Chino, CA 91710-9500 | 2011-12-21 |
| 1144281841 | Clarence Wilson II | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2006-03-31 |
| Street Address |
4209 LAKELAND DR STE 204 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972084564 | Margaret Lane Martin | Counselor | 499 Keywood Cir, Flowood, MS 39232-3001 | 2018-08-22 |
| 1740664747 | Richard Coker | Counselor | 200 Park Circle Dr Ste 1, Flowood, MS 39232-7800 | 2015-07-20 |
| 1174130967 | Rachel L Banks | Counselor | 132 Riverview Dr Ste B, Flowood, MS 39232-8924 | 2020-09-25 |
| 1780231043 | Turning Point, Inc. | Counselor | 117 Park Circle Dr, Flowood, MS 39232-8878 | 2019-08-21 |
| 1033673470 | John Zachary Thompson | Counselor | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2019-01-30 |
| 1225512205 | Christa Fuerst Williams | Counselor | 200 Park Circle Dr, Flowood, MS 39232-7628 | 2018-09-17 |
| 1265805642 | Julia K Weems | Counselor | 200 Park Circle Dr, Ste 2, Flowood, MS 39232-7628 | 2015-11-05 |
| 1265822555 | Nancy M Dickens | Counselor | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2015-01-26 |
| 1538577614 | Laura Alicia Lewis | Counselor | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2014-08-01 |
| 1225453509 | Allison Mcmahon Fulgham | Counselor | 2540 Flowood Dr, Flowood, MS 39232-9362 | 2014-02-24 |
| Find all providers in FLOWOOD | ||||
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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.