Williams, Robert T

Williams, Robert T is an sole proprietor health care provider with primary practice located at 1725 Wilma Rudolph Blvd Ste I , Clarksville TN 37040-7079. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Williams, Robert T can be contacted via phone (931) 998-0480.

Contact Information

Primary practice address
1725 Wilma Rudolph Blvd Ste I Clarksville TN 37040-7079
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1127 Kentucky

Profile Details

NPI number 1861492290
LBN Legal business name Williams, Robert T
Credentials MSW,LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Mar 5th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861492290 NPPES
Kentucky MEDICAID 8200105800

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