Cyshelle Williams, QPBS

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-026-901 Issued in NC

Practice address

4604 Pine Needle CT
Fayetteville, NC 28314-2463

Phone

(910) 691-7843

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Majestic Care Living Services Corp

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raeford, NC
  • NPI 1063260016

  Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1518274695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 PINE NEEDLE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142463",
            "telephone_number": "910-691-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 PINE NEEDLE CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142463",
            "telephone_number": "910-691-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CYSHELLE",
        "credential": "QPBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Williams, LPCA
• Ciara Monet Williams
• Clint Williams
• Crystal Williams, PHARMD
• Cydne Williams
• David Williams, LCSW
• Delores R. Williams, FNP-C
• Denise Michelle Williams, PA
• Elizabeth Ann Williams, LCMHC
• Emonne Williams

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.