Williamsville Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

994 Issued in VA

Legal business name

WILLIAMSVILLE WELLNESS, LLC

Practice address

8505 Bell Creek Rd
Mechanicsville, VA 23116-3829

Phone

(804) 559-9959

Fax

(804) 559-9613

NPI assigned

Dec 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Robert Woodrow Cabaniss Jr.

Title

Executive Director

Phone

(804) 559-9959

Specialties & licenses 1

Addresses

Other names 1

• Williamsville Wellness Center Other name

Locations

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1376941203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 CABANISS LN",
            "city": "HANOVER",
            "state": "VA",
            "postal_code": "230691840",
            "telephone_number": "804-559-9959",
            "fax_number": "804-559-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 BELL CREEK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163829",
            "telephone_number": "804-559-9959",
            "fax_number": "804-559-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "CABANISS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WOODROW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-559-9959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsville Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Elizabeth Williams, PA-C
• Meggan Williams, CCC-SLP
• Stephanie Marie Williams
• Wendy W. Williams, CCC-SLP
• Dana C Williamson, D.C.
• Alicia Willis, LCOTA
• Rachel Dunton Wills, LPC, LMFT
• Robert Douglas Wills, M.D.
• Whitney D Wills, MD
• Sarah Flory Willson

• Community/Behavioral Health Agency in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.