Individual provider · Type 1 NPI
Danice Wilson, PRACTITIONER, MED
Community/Behavioral Health Agency · Austell, GA
Practice location
3961 Floyd Rd, Suite 300158
Austell, GA 30106-8535
Fax (770) 438-7929
Mailing address
9814 Spinnaker St
Cheltenham, MD 20623-1350
Other practice locations
- 9814 Spinnaker St, Cheltenham, MD 20623-1350 · (833) 551-7284
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Community/Behavioral Health Agency Primary | 251S00000X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
3 other providers at this address
About NPI 1215339015
Danice Wilson, PRACTITIONER, MED's National Provider Identifier is 1215339015, issued on Sep 23, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Austell, GA. The record was last updated on Mar 25, 2026.