Williams, Shirley Ann

Williams, Shirley Ann is an sole proprietor health care provider with primary practice located at 3750 Meadowview Road Apt A-1 , Lumberton NC 28358. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Williams, Shirley Ann can be contacted via phone (910) 618-9912.

Contact Information

Primary practice address
3750 Meadowview Road Apt A-1 Lumberton NC 28358
Fax: (910) 618-0728
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1241 North Carolina

Profile Details

NPI number 1194995472
LBN Legal business name Williams, Shirley Ann
Credentials MA, LCAS, CSI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Mar 3rd, 2008 - about 17 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 1194995472 NPPES
North Carolina MEDICAID 6110549

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