Provider Demographics
NPI:1962214312
Name:WILLIAMS, CADE
Entity type:Individual
Prefix:
First Name:CADE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3267 BIG OAK CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27242-8148
Mailing Address - Country:US
Mailing Address - Phone:910-783-5955
Mailing Address - Fax:
Practice Address - Street 1:375 SE BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6057
Practice Address - Country:US
Practice Address - Phone:910-725-0702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician