Mario Wilson, - Counselor in Tupelo, MS

Mario Wilson, is a Counselor - Mental Health based in Tupelo, Mississippi. Mario Wilson is licensed to practice in * (Not Available) (license number ) and his current practice location is 2434 S Eason Blvd, Tupelo, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 640-4595.

NPI number for Mario Wilson is 1023771706 and his current mailing address is 2434 S Eason Blvd, Tupelo, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023771706.

Contact Information

Mario Wilson,
2434 S Eason Blvd,
Tupelo, MS 38804-6942
(662) 640-4595
Not Available

Healthcare Provider's Profile

Full NameMario Wilson
GenderMale
SpecialityCounselor - Mental Health
Location2434 S Eason Blvd, Tupelo, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023771706
  • Provider Enumeration Date: 10/19/2021
  • Last Update Date: 10/19/2021

Medical Identifiers

Medical identifiers for Mario Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023771706NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Wilson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mario Wilson,
2434 S Eason Blvd,
Tupelo, MS 38804-6942

Ph: () -
Mario Wilson,
2434 S Eason Blvd,
Tupelo, MS 38804-6942

Ph: (662) 640-4595

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› Verified 2 days ago


Counselor in Tupelo, MS

Tiffany Brown,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804
Phone: 662-640-4595    Fax: 662-680-6416
Alyssa Bridges,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804
Phone: 662-640-4595    
Caitlyn Bouldin,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804
Phone: 662-640-4595    
Kayla Harris,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804
Phone: 662-810-4125    
Keyaira Standifer,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2434 S Eason Blvd, Tupelo, MS 38804
Phone: 662-640-4595    
Mrs. Dorothy Elder Ford,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: Region Iii Mental Health Center, 2434 South Eason Blvd, Tupelo, MS 38804
Phone: 662-844-1717    Fax: 662-680-6416
Mr. Richard Eugene Dunnam, NCAC II, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 920 Boone St, Tupelo, MS 38804
Phone: 662-844-3531    Fax: 662-844-1757

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