CYSHELLE WILLIAMS (NPI# 1518274695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518274695 |
| Entity Type | Individual |
| Full Name | CYSHELLE WILLIAMS |
| Credential | QPBS |
| Practice Address |
4604 Pine Needle Ct Fayetteville NC 28314-2463 |
| Practice Telephone | 9106917843 |
| Mailing Telephone | 9106917843 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MHL-026-901 | NC | Residential Treatment Facilities |
| Street Address |
4604 PINE NEEDLE CT |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861813263 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 4604 Pine Needle Ct, Fayetteville, NC 28314-2463 | 2014-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841612215 | Ravenwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 190 Bonney Ln, Fayetteville, NC 28306-3736 | 2014-01-20 |
| 1508288218 | Teresa Mcneill | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3608 Pickerel St, Fayetteville, NC 28306 | 2014-01-15 |
| 1750713921 | The Loving Home, Inc. #4 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1710 Scampton Dr, Fayetteville, NC 28303-3742 | 2013-07-30 |
| 1336580620 | Sophia B. Pierce & Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1128 Paddington Pl, Fayetteville, NC 28314-6304 | 2013-07-15 |
| 1730457458 | Georgia Community Living Facilities LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 500 Lanier Ave W Ste 610, Fayetteville, GA 30214-7644 | 2011-12-08 |
| 1720398282 | Joyful Living Group Home #3 | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2809 Eldorado Rd, Fayetteville, NC 28306-1916 | 2010-10-18 |
| 1639322472 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6125 Louise St, Fayetteville, NC 28314-2720 | 2008-10-24 |
| 1326291246 | Joyful Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1951 Ireland Dr, Fayetteville, NC 28304-1504 | 2008-10-23 |
| 1366699415 | Stepping Stones Group Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1446 Pamalee Drive, Fayetteville, NC 28303 | 2008-08-20 |
| 1740476183 | Exton Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 400 Highway 314 # 314, Fayetteville, GA 30214-4001 | 2007-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on CYSHELLE WILLIAMS.
| 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.