Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Wilson

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1033653720

Tina Wilson is a Mental Illness Community Based Residential Treatment Facility in Mt Holly, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016

Practice location Address checks out

139 Whippoorwill Ln
Mt Holly, NC 28120-9761
Phone: (704) 574-1549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence MHL-036-323 (NC)

Record details

NPI number1033653720
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 14, 2016
Last updated in NPPESAugust 10, 2017

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