Eunoia Behavior Health Services

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EUNOIA BEHAVIOR HEALTH SERVICES

Practice address

1290 Halstead Blvd
Elizabeth City, NC 27909-5840

Phone

(252) 312-0516

NPI assigned

Nov 21, 2018

Last updated

Nov 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wilkiam Wilson, LCAS-ANPI 1558779298

Title

Therapist

Phone

(252) 312-0516

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wilkiam Wilson

  • Addiction (Substance Use Disorder) Counselor
  • Elizabeth City, NC
  • NPI 1558779298
  Authorized official Same address or phone

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1396214193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1614",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279061614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HALSTEAD BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279095840",
            "telephone_number": "252-312-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUNOIA BEHAVIOR HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILKIAM",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "252-312-0516",
        "authorized_official_credential": "LCAS-A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.