MR. RODNEY LEVI WILLOUGHBY (NPI# 1083195002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083195002 |
Entity Type | Individual |
Full Name | MR. RODNEY LEVI WILLOUGHBY |
Credential | BA-CSAC-QMHP |
Practice Address |
8180 Hamilton Dr Gloucester VA 23061-5296 |
Practice Telephone | 8048242300 |
Mailing Telephone | 8048242300 |
Enumeration Date | 2018-08-27 |
Last Update Date | 2018-08-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710101903 | VA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720030216 | Rodney E Willoughby | Pediatrics | 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226-4874 | 2006-05-16 |
Street Address |
8180 HAMILTON DR |
City | GLOUCESTER |
State | VA |
Zip Code | 23061-5296 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538646914 | Lourdes Felisa Willoughby | Adult Companion | 8180 Hamilton Dr, Gloucester, VA 23061-5296 | 2018-07-27 |
1568945582 | Hope Dealer Siempre, LLC | Case Manager/Care Coordinator | 8180 Hamilton Dr, Gloucester, VA 23061-5296 | 2018-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770087546 | Connex Family Services | Behavioral Analyst | 6948 Main Street Ste. 12, Gloucester, VA 23061 | 2018-03-19 |
1699278820 | Blake Steagall | Counselor | 7296 York Avenue, Gloucester, VA 23061 | 2018-03-14 |
1982103941 | Cathyrn Fields Radford | Speech-Language Pathologist | Page Middle School, 5198 T. C. Walker Road, Gloucester, VA 23061 | 2018-02-06 |
1326558727 | Home Care Associates LLC | Technician | 6812 Teagle Lane, Unit 1, Gloucester, VA 23061 | 2017-10-11 |
1154847176 | Thorpe Counseling Center | Social Worker | 6486 Main Street, Suite 10, Gloucester, VA 23061 | 2017-08-22 |
1215473715 | Christina Vickers | Prevention Professional | 7824 Windy Hill Road, Gloucester, VA 23061 | 2017-01-09 |
1487084372 | Debra Leigh Ottarson | Pharmacist | 6634 Jarvis Road, Gloucester, VA 23061 | 2013-11-14 |
1114170446 | Riverside Physician Services Inc | Psychiatry & Neurology | 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 | 2008-10-30 |
1881846087 | Nine Palms 1, LLC | Home Health | 6606 Main St, Gloucester, VA 23061 | 2008-10-21 |
1396909867 | Sandra B Buchheister | Physical Therapist | 6965 Fox Hunt Lane, Suite 201, Gloucester, VA 23061 | 2008-07-15 |
Find all providers in zip 23061 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427590140 | Frank Militello | Counselor | 33 Elm St Fl 3, Gloucester, MA 01930-3725 | 2016-11-11 |
1275085870 | Hannah Fleming | Counselor | 6523 Main St, Gloucester, VA 23061-6132 | 2016-10-29 |
1578879524 | Marty Dunphy | Counselor | 31 Dennison St, Gloucester, MA 01930-1315 | 2010-08-28 |
1407069230 | Chesapeake Counseling Associates PC | Counselor | 7319 Martin St Ste 2, Gloucester, VA 23061-5358 | 2007-05-08 |
1861508673 | Daniel F Mcmanus | Counselor | 61 Prospect St, Gloucester, MA 01930-5929 | 2006-08-22 |
1346732625 | Sydney Johna Venuti | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2018-06-03 |
1649713884 | Tara Petrocelli-mcgloin | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2016-11-21 |
1063881225 | Danielle Cauley | Counselor | 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 | 2015-09-17 |
1407272727 | Kathy Roberts | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2014-03-11 |
1295076362 | Eric Joseph Wade | Counselor | 298 Washington St, Gloucester, MA 01930-4832 | 2013-03-13 |
Find all providers in GLOUCESTER |
City | GLOUCESTER |
Zip Code | 23061 |
Please comment or provide details below to improve the information on MR. RODNEY LEVI WILLOUGHBY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.