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SHANGA WILSON
NPI 1063957801
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Active since January 04, 2017
590 ELLIS RD S, JACKSONVILLE, FL 32254(904) 800-2231 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shanga Wilson NPPES

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

SHANGA WILSON (NPI 1063957801) is an individual addiction (substance use disorder) provider in Jacksonville, Florida and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1063957801
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANGA WILSON
Location Address590 ELLIS RD SJacksonville, FL 32254-3555
Mailing Address590 Ellis Rd SJacksonville, FL 32254-3555 · (904) 800-2231
Phone(904) 800-2231
Sole ProprietorYes
Enumeration DateJanuary 4, 2017
✔ NPI 1063957801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
590 ELLIS RD S, Jacksonville, FL 32254
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Other Providers at the Same Location NPPES 11

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

YOLANDA MASSEY
Social Worker
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (877) 284-7074
ERLINDA VARONE LOPEZ
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 891-6891
KAYLA ADAMS
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 800-2231
MR. JUSTIN BURNS AA
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 800-2231
METRO TREATMENT OF FLORIDA, LP
Clinic/Center (Methadone)
590 ELLIS RD S, BLDG. 4
JACKSONVILLE, FL 32254
Duval County (904) 800-2231
KOLU JENNINGS MCAP, CMHP, CBHCMS
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 800-2231
VICTOR SULLIVAN JR.
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 800-2231
GREGORY LEE CLINE MCAP
Counselor (Addiction (Substance Use Disorder))
590 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 800-2213

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 Shanga Wilson's NPI number?

The NPI number for Shanga Wilson is 1063957801. It was assigned to this individual provider in the NPPES registry on January 4, 2017.

Where is Shanga Wilson located?

Shanga Wilson practices at 590 Ellis Rd S, Jacksonville, FL 32254. The listed phone number is (904) 800-2231.

What is Shanga Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shanga Wilson was last updated on January 4, 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.