Reavyn Williamson International

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

A12118 Issued in NC

Legal business name

REAVYN WILLIAMSON INTERNATIONAL

Practice address

133 Heritage Creek Way
Greensboro, NC 27405-4779

Phone

(336) 327-1946

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Reavyn N Williamson, LPCA, CRC, MSNPI 1801253935

Title

Licensed Professional Counselor Aos

Phone

(336) 327-1946

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reavyn Williamson

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1801253935
  NPD (past) Authorized official

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1356706428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HERITAGE CREEK WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054779",
            "telephone_number": "336-327-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HERITAGE CREEK WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274054779",
            "telephone_number": "336-327-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAVYN WILLIAMSON INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "REAVYN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR AOS",
        "authorized_official_telephone_number": "336-327-1946",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCA, CRC, MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "A12118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A12118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.