Richardson, Willie

Richardson, Willie is an sole proprietor health care provider with primary practice located at 3739 Mayfield Rd Apt 101 , Cleveland Heights OH 44121-1751. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Richardson, Willie can be contacted via phone (216) 386-6415.

Contact Information

Primary practice address
3739 Mayfield Rd Apt 101 Cleveland Heights OH 44121-1751
Phone: (216) 386-6415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1942772181
LBN Legal business name Richardson, Willie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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