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TINA WILSON
NPI 1033653720
Community Based Residential Treatment Facility, Mental Illness in Mt Holly, NC

Active since December 14, 2016
139 WHIPPOORWILL LN, MT HOLLY, NC 28120(704) 574-1549 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2017, Dec 14, 2016 (2 updates tracked since 2016).

About Tina Wilson NPPES

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

TINA WILSON (NPI 1033653720) is an individual community based residential treatment facility, mental illness provider in Mt Holly, North Carolina, licensed in North Carolina (MHL-036-323) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1033653720
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameTINA WILSON
Location Address139 WHIPPOORWILL LNMt Holly, NC 28120-9761
Mailing Address205 Whippoorwill LnMt Holly, NC 28120-9761 · (704) 574-1549
Phone(704) 574-1549
Sole ProprietorYes
Enumeration DateDecember 14, 2016
Last NPPES UpdateAugust 10, 20172 updates tracked since enumeration
✔ NPI 1033653720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · MHL-036-323
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
139 WHIPPOORWILL LN, Mt Holly, NC 28120
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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 Tina Wilson's NPI number?

The NPI number for Tina Wilson is 1033653720. It was assigned to this individual provider in the NPPES registry on December 14, 2016.

Where is Tina Wilson located?

Tina Wilson practices at 139 Whippoorwill Ln, Mt Holly, NC 28120. The listed phone number is (704) 574-1549.

What is Tina Wilson's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Tina Wilson was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.