Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WILSON GREENE MENTAL HEALTH
Active
Organization
WILSON GREENE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY RACKLEY (FINANCE OFFICER)
(252) 937-8141
Entity
Organization
Contact information
Practice address
1709 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8021
Mailing address
1709 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07196
BLUE CROSS
NC
01
—
3404936
BILLING PROVIDER NUMBER
NC
05
—
3408391
—
NC
05
—
5901738
—
NC
01
—
5901818
PHYSICIAN GROUP NUMBER
NC
01
—
6005615
MULTI-SPECIALTY NUMBER
NC
05
—
8301342
—
NC
05
—
8301342G
—
NC
Enumeration date
12/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up