Wilmer Hall Episcopal Children'S Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

000264 Issued in AL

Legal business name

WILMER HALL EPISCOPAL CHILDREN'S HOME

Practice address

3811 Old Shell Rd
Mobile, AL 36608-1317

Phone

(251) 342-4931

Fax

(251) 342-1782

NPI assigned

Aug 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George M Hamilton, M.ED.,LPC

Title

Program Director

Phone

(251) 342-4931

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386654648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081317",
            "telephone_number": "251-342-4931",
            "fax_number": "251-342-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081317",
            "telephone_number": "251-342-4931",
            "fax_number": "251-342-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMER HALL EPISCOPAL CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "251-342-4931",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED.,LPC"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "AL",
            "license": "000264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33090266",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33090166",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corbin Willis, DMD
• James F Willis, LPC
• Joseph Thomas Willis, D.M.D.
• Maureen Hynes Willoughby
• Deanna Willyerd, CRNP
• Alecia Wilson, CRNA
• Amanda Wilson
• Ashley Wilson
• Beverly A Wilson, DDS
• Breanna Wilson, ALC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Mobile, AL
• Providers in Mobile, AL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.