| Reavyn Williamson International | |
|
133 Heritage Creek Way Greensboro NC 27405-4779 | |
| (336) 327-1946 | |
| Not Available |
| Full Name | Reavyn Williamson International |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 Heritage Creek Way, Greensboro, North Carolina |
| Authorized Official Name and Position | Reavyn N Williamson (LICENSED PROFESSIONAL COUNSELOR AOS) |
| Authorized Official Contact | 3363271946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reavyn Williamson International 133 Heritage Creek Way Greensboro NC 27405-4779 Ph: (336) 327-1946 | Reavyn Williamson International 133 Heritage Creek Way Greensboro NC 27405-4779 Ph: (336) 327-1946 |
| NPI Number | 1356706428 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356706428 | NPI | - | NPPES |
| A12118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | A12118 (North Carolina) | Primary |
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