Provider Demographics
NPI:1699107946
Name:WILLIAM REDMILES, LPC, LLC
Entity type:Organization
Organization Name:WILLIAM REDMILES, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:REDMILES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:703-244-6940
Mailing Address - Street 1:8140 ASHTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-5698
Mailing Address - Country:US
Mailing Address - Phone:703-244-6940
Mailing Address - Fax:703-330-3966
Practice Address - Street 1:8140 ASHTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-5698
Practice Address - Country:US
Practice Address - Phone:703-244-6940
Practice Address - Fax:703-330-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty