ANGELA BYRD WILSON CCAC II
NPI 1306656285
Counselor - Addiction (Substance Use Disorder) in Atlanta, GA

Active since January 13, 2025
5680 FULTON INDUSTRIAL BLVD SW, ATLANTA, GA 30336(404) 484-9640 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angela Byrd Wilson Ccac Ii NPPES

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

ANGELA BYRD WILSON CCAC II (NPI 1306656285) is an individual addiction (substance use disorder) provider in Atlanta, Georgia, licensed in Georgia (87881) and active in the NPI registry since January 2025. She maintains a secondary practice location in Riverdale.

NPPES Registry Identity

NPI1306656285
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameANGELA BYRD WILSONCredential: CCAC II
Location Address5680 FULTON INDUSTRIAL BLVD SWAtlanta, GA 30336-2659
Mailing Address7263 Bluestone DrRiverdale, GA 30296-1513 · (404) 484-9640
Sole ProprietorYes
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 9, 2025
NPI 1306656285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in GA · 87881
Also ListedCommunity Health WorkerTaxonomy 172V00000X
5680 FULTON INDUSTRIAL BLVD SW, Atlanta, GA 30336

Secondary Practice Location 1

Location 17263 Bluestone DrRiverdale, GA 30296-1513 · Phone (404) 484-9640

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Case Manager/Care Coordinator
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Occupational Therapist (Mental Health)
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Counselor (Professional)
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Community/Behavioral Health
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Licensed Practical Nurse
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Counselor (Mental Health)
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336
Occupational Therapist (Mental Health)
5680 FULTON INDUSTRIAL BLVD SW
ATLANTA, GA 30336

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 Angela Wilson's NPI number?

The NPI number for Angela Wilson is 1306656285. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Angela Wilson located?

Angela Wilson practices at 5680 Fulton Industrial Blvd SW, Atlanta, GA 30336. The listed phone number is (404) 484-9640.

What is Angela 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 Angela Wilson was last updated on January 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.