Williams, Wanda Teresa

Williams, Wanda Teresa is an sole proprietor health care provider with primary practice located at 327 N Queen St Suite 110, Kinston NC 28501-4984. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Williams, Wanda Teresa can be contacted via phone (252) 522-8002.

Contact Information

Primary practice address
327 N Queen St Suite 110 Kinston NC 28501-4984
Phone: (252) 522-8002
Fax: (252) 523-1685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6111762 North Carolina

Profile Details

NPI number 1144222845
LBN Legal business name Williams, Wanda Teresa
Credentials MS, LCAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Aug 19th, 2015 - about 9 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 1144222845 NPPES
North Carolina MEDICAID 6111762
North Carolina Other 169VR

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