1740456078 NPI number — WILLIAMS COUNSELING & EDUCATIONAL SERVICE INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740456078 NPI number — WILLIAMS COUNSELING & EDUCATIONAL SERVICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILLIAMS COUNSELING & EDUCATIONAL SERVICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740456078
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
326 PARROT HILL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89032-9071
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-875-5012
Provider Business Mailing Address Fax Number:
702-649-6119

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
720 W CHEYENNE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89030-7807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-875-5012
Provider Business Practice Location Address Fax Number:
702-549-2213
Provider Enumeration Date:
05/06/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
OWNER/ PRESIDENT
Authorized Official Telephone Number:
702-875-5012

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  5090-C , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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