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
Mailing address205 Whippoorwill Ln, Mt Holly, NC 28120-9761

Other providers in Mt Holly