Vanita J Wilson, | |
1140 S Linden Rd, Flint, MI 48532-3437 | |
(810) 240-9472 | |
Not Available |
Full Name | Vanita J Wilson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1140 S Linden Rd, Flint, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740756949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401010431 (Michigan) | Primary |
Entity Name | Oakland Psychological Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538356282 PECOS PAC ID: 2163315086 Enrollment ID: O20040507000830 |
Entity Name | Optum Behavioral Care Of Colorado, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851161285 PECOS PAC ID: 0941648463 Enrollment ID: O20240423001699 |
Mailing Address | Practice Location Address |
---|---|
Vanita J Wilson, 11237 W Pierson Rd, Flushing, MI 48433-9740 Ph: (810) 955-7747 | Vanita J Wilson, 1140 S Linden Rd, Flint, MI 48532-3437 Ph: (810) 240-9472 |
Mr. Reginald H Coleman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: G-3163 Flushing Rd, Ste 106, Flint, MI 48504 Phone: 810-249-9924 | |
Jacqueline Gallant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1108 Lapeer Rd, Flint, MI 48503 Phone: 810-232-7919 | |
Sheila Lamarque, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 S Saginaw St, Flint, MI 48502 Phone: 810-257-3453 | |
Linda L Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 | |
Tami A Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 108, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 | |
M Carey Delevie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Suite 204, Flint, MI 48503 Phone: 810-213-1785 Fax: 810-496-8539 | |
Starla J Hovey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 W Water St, Flint, MI 48503 Phone: 810-232-2766 Fax: 810-232-2782 |