MRS. TENNILLE KRISTINE WILSON LPCA
NPI 1467014746
Counselor in Fayetteville, NC

Active since July 08, 2019
6415 CAMDEN RD STE 109, FAYETTEVILLE, NC 28306(910) 670-5241 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Tennille Kristine Wilson Lpca NPPES

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

MRS. TENNILLE KRISTINE WILSON LPCA (NPI 1467014746) is an individual counselor in Fayetteville, North Carolina, licensed in North Carolina (A14226) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1467014746
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. TENNILLE KRISTINE WILSONCredential: LPCA
Location Address6415 CAMDEN RD STE 109Fayetteville, NC 28306-7584
Mailing Address6880 Blake RdStedman, NC 28391-8667 · (910) 670-5241
Sole ProprietorYes
Enumeration DateJuly 8, 2019
NPI 1467014746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in NC · A14226
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6415 CAMDEN RD STE 109, Fayetteville, NC 28306

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467014746, enumerated as an "individual" on July 08, 2019.

The provider is located at 6415 CAMDEN RD STE 109 FAYETTEVILLE, NC 28306 and the phone number is (910) 670-5241.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.