MEDICARE: MRS. PORTIA NICOLE HALL-WILKINS LPC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	830	NC
2	101YP2500X	Professional Counselor	3341	NC

General Provider Information

NPI Number	:	1891850269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PORTIA NICOLE HALL-WILKINS LPC

Provider Business Mailing Address
First Line	:	827 BADGER CIR
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-0304
Country	:	US
Telephone Number	:	252-531-9559
Fax Number	:	252-757-1129

Provider Business Practice Location Address
First Line	:	704 CROMWELL DR STE B
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27858-5894
Country	:	US
Telephone Number	:	252-531-9559
Fax Number	:	252-757-1129

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

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	09/11/2025

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