Wilson, Richard William

Wilson, Richard William is an individual health care provider with primary practice located at 4914 Radford Ave Ste 207, Richmond VA 23230-3538. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wilson, Richard William can be contacted via phone (804) 257-9556.

Contact Information

Primary practice address
4914 Radford Ave Ste 207 Richmond VA 23230-3538
Phone: (804) 257-9556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701003716 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717001088 Virginia

Profile Details

NPI number 1639155583
LBN Legal business name Wilson, Richard William
Credentials LPC LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated May 26th, 2008 - about 16 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 1639155583 NPPES
Virginia Other 181219 BCBS
Virginia Other 498920 BCBS
Virginia Other O81645M BCBS
Virginia Other 182885 BCBS
Virginia Other 74653000 BCBS
Virginia MEDICAID 010203163 BCBS
Virginia Other 324642 BCBS

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