Williams, Carl
Williams, Carl is an sole proprietor health care provider with primary practice located at 1491 Main St , Willimantic CT 06226-1914. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Williams, Carl can be contacted via phone (860) 456-3215.Contact Information
Primary practice address
1491 Main St
Willimantic CT 06226-1914
Phone: (860) 456-3215
Fax: (860) 423-3351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 103-022 | New Jersey |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000953 | Connecticut |
Profile Details
| NPI number | 1730403205 |
|---|---|
| LBN Legal business name | Williams, Carl |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2010 |
| Last updated | Mar 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730403205 | NPPES |
| New Jersey | Other | 37LC0013400 | ADDICTIONS PROFESSIONAL LICENSE NUMBER |
| New Jersey | Other | 103-022 | ADDICTIONS PROFESSIONAL LICENSE NUMBER |
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