Organization Active NPI

Renee Williamson LLC

  • Adult Mental Health Clinic/Center
  • Wilmington, NC
National Provider Identifier
1013894211
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENEE WILLIAMSON LLC
Practice address
3137 Wrightsville Ave Unit C
Wilmington, NC 28403-4111
Phone
(910) 839-8084
Fax
(910) 946-5799
NPI assigned
Aug 19, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Renee Eileen Williamson, LCMHC, NCCNPI 1730967241
Title
Owner/Provider
Phone
(910) 839-8084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

3137 Wrightsville Ave Unit C
Wilmington, NC 28403-4111

Mailing address

406 Lady Bug LN
Wilmington, NC 28411-8012
Phone (910) 839-8084

Other names 1

  • Renee Williamson LLC Other name

National Provider Directory

National Provider Directory

Locations

3137 Wrightsville Ave
Unit C
Wilmington, NC 28403
Phone (910) 839-8084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1013894211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 LADY BUG LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118012",
            "telephone_number": "910-839-8084",
            "fax_number": "910-946-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 WRIGHTSVILLE AVE UNIT C",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111",
            "telephone_number": "910-839-8084",
            "fax_number": "910-946-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE WILLIAMSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "910-839-8084",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renee Williamson LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.