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TEDREA RENEE WILSON
NPI 1013871557
Counselor - Mental Health in Moncks Corner, SC

Active since December 10, 2025
403 STONY LANDING RD, MONCKS CORNER, SC 29461(843) 761-8282(843) 761-7308 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tedrea Renee Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEDREA RENEE WILSON (NPI 1013871557) is an individual mental health provider in Moncks Corner, South Carolina and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1013871557
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTEDREA RENEE WILSON
Location Address403 STONY LANDING RDMoncks Corner, SC 29461-3967
Mailing Address403 Stony Landing RdMoncks Corner, SC 29461-3967 · (843) 761-8282 · Fax (843) 761-7308
Phone(843) 761-8282
Fax(843) 761-7308
Sole ProprietorNo
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1013871557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
403 STONY LANDING RD, Moncks Corner, SC 29461
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Other Identifiers 1

Medicaid435201SC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANE R SMITH LMSW
Social Worker
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
MR. JOHN M DORMAN LPC
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
ROBIN A MINUTELLO LMSW
Social Worker (Clinical)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (184) 376-1828
AMELIA H ANDERSON
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
MRS. SHANTASIA M. A, SIMMONS RN
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
PATRICIA A LANDREMAN RN
Registered Nurse (Psychiatric/Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
KATERINA O VILLANUEVA
Counselor (Mental Health)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282
OLGA V VERBOVAYA
Social Worker (Clinical)
403 STONY LANDING RD
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tedrea Wilson's NPI number?

The NPI number for Tedrea Wilson is 1013871557. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Tedrea Wilson located?

Tedrea Wilson practices at 403 Stony Landing Rd, Moncks Corner, SC 29461. The listed phone number is (843) 761-8282.

What is Tedrea Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tedrea Wilson was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.