MEDICARE: WANDA PEARMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	3045	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467671321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WANDA PEARMAN

Provider Business Mailing Address
First Line	:	4035 UNIVERSITY PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-3276
Country	:	US
Telephone Number	:	336-397-1560
Fax Number	:

Provider Business Practice Location Address
First Line	:	4035 UNIVERSITY PKWY
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27106-3276
Country	:	US
Telephone Number	:	336-397-1560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	10/15/2012

Similar Medicare Providers

1093564148 — K AARON CONSULTING & CO
Practice Location Address:

4035 UNIVERSITY PKWY STE 207-211
WINSTON SALEM, NC
27106-3276

Practice Phone: 335-437-2489
Practice Fax:

1649301573 — MRS. STACEY HEPLER INMAN M.A., L.C.A.S, C.C.S
Practice Location Address:

4035 UNIVERSITY PKWY
WINSTON SALEM, NC
27106-3276

Practice Phone: 336-561-1268
Practice Fax:

1689818510 — INSTITUTE FOR FAMILY CENTERED SERVICES
Practice Location Address:

4035 UNIVERSITY PKWY , SUITE 101
WINSTON SALEM, NC
27106-3276

Practice Phone: 336-397-1560
Practice Fax: 336-397-1566

1598067126 — MRS. LISA FRIEBELE MORRIS LPC, NCC
Practice Location Address:

4035 UNIVERSITY PKWY , SUITE 101
WINSTON SALEM, NC
27106-3276

Practice Phone: 336-816-3712
Practice Fax:

1780989004 — MR. KEVIN RICHARD DONNELLY MSW, LCSW
Practice Location Address:

4035 UNIVERSITY PKWY , SUITE 101
WINSTON SALEM, NC
27106-3276

Practice Phone: 336-397-1560
Practice Fax:

1346526860 — NATIONAL MENTOR HEALTHCARE, LLC
Practice Location Address:

4035 UNIVERSITY PKWY , SUITE 101
WINSTON SALEM, NC
27106-3276

Practice Phone: 336-397-1560
Practice Fax: 336-397-1566

Directions to “ WANDA PEARMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.