Provider Demographics
NPI:1598580714
Name:WILLIAMS PSYCHOLOGICAL SOLUTIONS LLC
Entity type:Organization
Organization Name:WILLIAMS PSYCHOLOGICAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:DEVONNE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-639-3469
Mailing Address - Street 1:9000 PENNY BRIDGE MEWS
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-6893
Mailing Address - Country:US
Mailing Address - Phone:757-639-3469
Mailing Address - Fax:
Practice Address - Street 1:9000 PENNY BRIDGE MEWS
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-6893
Practice Address - Country:US
Practice Address - Phone:757-639-3469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)