Demecka Wilson

Case Manager/Care Coordinator · Fayette, MS

Individual Active NPI

NPI number 1114388568

Practice location

1138 Puffer Rd
Fayette, MS 39069-5133
Phone
(601) 472-2310

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NPI record

NPI
1114388568
Entity type
Individual (Type 1)
Enumeration date
March 14, 2016
Last updated
July 30, 2021
Certified
July 30, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — LA
Mental Health Counselor 101YM0800X — —

Mailing address

1644 B Carter Street Suite 2
Vidalia, LA 71373
Phone
(318) 414-3065
Fax
(318) 414-3067

About Demecka Wilson

Demecka Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1138 Puffer Rd, Fayette, MS 39069-5133. The NPI number 1114388568 was assigned on March 14, 2016 and the record was last updated on July 30, 2021.

Frequently asked questions

What is the NPI number of Demecka Wilson?

The NPI number is 1114388568.

What is the phone number of Demecka Wilson?

The phone number listed for the practice location is (601) 472-2310.

Where is Demecka Wilson located?

1138 Puffer Rd, Fayette, MS 39069-5133.

What is the taxonomy code for Demecka Wilson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.