Williams, Tara
Williams, Tara is an individual health care provider with primary practice located at 3506 Rossington Blvd , Chester VA 23831-7157. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Williams, Tara can be contacted via phone (804) 882-8573.Contact Information
Primary practice address
3506 Rossington Blvd
Chester VA 23831-7157
Phone: (804) 882-8573
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3961 | Virginia |
Profile Details
| NPI number | 1477276723 |
|---|---|
| LBN Legal business name | Williams, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2022 |
| Last updated | Sep 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477276723 | NPPES |
| Virginia | MEDICAID | 3961 |
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