Ebony Wilson
NPI 1013334622 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Saint Louis, MO
Ebony Wilson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Saint Louis, MO (NPI 1013334622).
Provider details
- NPI number
- 1013334622
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-20
- Last updated
- 2014-03-20
Frequently asked questions
- What is Ebony Wilson's NPI number?
- Ebony Wilson's National Provider Identifier (NPI) is 1013334622, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Wilson's specialty?
- Ebony Wilson is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Ebony Wilson located?
- Ebony Wilson's practice location on file with NPPES is 3514 Blair Ave, Saint Louis, MO 63107-3717.
- What is Ebony Wilson's phone number?
- The practice phone number listed in the NPPES registry for Ebony Wilson is (314) 216-0088.
- Is Ebony Wilson's NPI active?
- Yes — Ebony Wilson's NPI (1013334622) is active in the NPPES registry as of the last update on 2014-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.