Wilson, Sammy

Wilson, Sammy is an sole proprietor health care provider with primary practice located at 3628 Mine Rd Ste D , Fredericksburg VA 22408-0224. He recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Dietary & Nutritional Service Providers / Nutrition, Education, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Specialist, Other Service Providers / Research Study, Other Service Providers / Health Educator, Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Clinic/Center, Transportation Services / Taxi, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Wilson, Sammy can be contacted via phone (512) 262-8107.

Contact Information

Primary practice address
3628 Mine Rd Ste D Fredericksburg VA 22408-0224
Phone: (512) 262-8107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Specialist 174400000X
Other Service Providers / Research Study 1744R1102X
Other Service Providers / Health Educator 174H00000X
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Transportation Services / Taxi 344600000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1730725375
LBN Legal business name Wilson, Sammy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2019
Last updated Nov 19th, 2019 - about 5 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.

Request for update

Popular Providers