Williams, Cyrus Rodrick

Williams, Cyrus Rodrick is an sole proprietor health care provider with primary practice located at 1000 Regent University Dr. Crb 221, Virginia Beach VA 23464. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Williams, Cyrus Rodrick can be contacted via phone (352) 374-5600.

Contact Information

Primary practice address
1000 Regent University Dr. Crb 221 Virginia Beach VA 23464
Phone: (352) 374-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701005688 Virginia

Profile Details

NPI number 1083841779
LBN Legal business name Williams, Cyrus Rodrick
Credentials LPC, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Mar 29th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083841779 NPPES
Virginia MEDICAID 600922207

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