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

Latoya Shena Wilson

Individual provider Community/Behavioral Health Agency · NPI 1013704071

Latoya Shena Wilson is a Community/Behavioral Health Agency in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2025.

Licensed in
NC
In the registry since
2025
Specialties on file
5

Practice location Address checks out

4761 Queen Pierrette St
Raleigh, NC 27610-8706
Phone: (336) 268-5127
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021341 (NC)
Community/Behavioral Health Agency Taxonomy 251S00000X · Licence P021341 (NC)
Peer Specialist Taxonomy 175T00000X · Licence P021341 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-30953 (NC)
Case Management Agency Taxonomy 251B00000X · Licence P021341 (NC)

Record details

NPI number1013704071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2025
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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