Organization
COUNTY OF WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY PAIGE IRVINE MS. (DIRECTOR)
(252) 206-4000
Entity
Organization
Contact information
Practice address
100 GOLD ST NE, WILSON, NC 27893
(252) 206-4000
Mailing address
PO BOX 459, 100 GOLD ST NE, WILSON, NC 27893
(252) 206-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/11/2026
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