David Descartes Wilson
Individual provider Active NPI Mental Health Counselor · Columbia, SC
NPI 1649978271 · NPPES record last updated Feb 22, 2023
Key facts
- NPI
- 1649978271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2715 Colonial Drive
Columbia, SC 29203 - Phone
- (803) 898-4859
- NPI assigned
- Feb 22, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24023359 | SC | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Yes | ||
| Mental Health Counselor | 101YM0800X | $$$$$$$$$ | SC | |
| Mental Health Counselor | 101YM0800X | 24023359 | SC |
Addresses
Primary practice location
2715 Colonial Drive
Columbia, SC 29203
Mailing address
2715 Colonial Dr
Columbia, SC 29203-6818
Phone (803) 898-4859
Other providers in Columbia, SC
- Catherine Marie Wilson
- Cynthia Ashleigh Wilson
- Daleya Shiree Wilson
- Danielle D Wilson
- David Wilson
- Delmarie Elizabeth Wilson
- Ernest Daniel Wilson
- Eugene Wiley Wilson IV
- Georgann H Wilson
- Gerald A Wilson
All providers in Columbia, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.