Mary Wilson is a Counselor in Bolivar, Tennessee. Mary Wilson practices all healthcare services and medical treatments related to Counselor. The NPI Number for Mary Wilson is 1578662532. The last update date is 2007-07-09.
Mary Wilson's current location address is 700 Locust St, Bolivar, Tennessee. You can contact this provider via phone number 7316586113 and fax number 7316586165. The mailing address for Mary Wilson is 700 Locust St, Bolivar, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Wilson |
|---|---|
| Address | 700 Locust St, Bolivar, Tennessee |
| Phone Number | 7316586113 |
| Fax Number | 7316586165 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578662532 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 700 Locust St |
|---|---|
| City | Bolivar |
| State | Tennessee (TN) |
| Post Code | 380082858 |
| Phone Number | 7316586113 |
| Fax Number | 7316586165 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 57436800 | TN | -- |
Post Comment/ Review Below
What is the Mary Wilson's 1578662532?
The Mary Wilson's NPI (National Provider Identifier) Number is 1578662532. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Mary Wilson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Wilson has been assigned the NPI (National Provider Identifier) 1578662532. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mary Wilson?
The Mary Wilson is physically situated at 700 Locust St, in the city of Bolivar, state of TN, with the postal code 380082858.
What is the area of specialization for Mary Wilson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mary Wilson is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578662532 to Mary Wilson?
The Mary Wilson received its 1578662532 assignment from the Centers for Medicare & Medicaid Services on 2006-09-22.