WILLIAMSON TREATMENT CENTER, LLC (NPI# 1689189490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689189490 |
| Entity Type | Organization |
| Organization Name | WILLIAMSON TREATMENT CENTER, LLC |
| Practice Address |
1609 W 3rd Ave Williamson WV 25661-3006 |
| Mailing Address |
6185 Paseo Del Norte Ste 150 Carlsbad CA 92011-1155 |
| Practice Telephone | 3042350026 |
| Practice Fax Number | 3042350028 |
| Mailing Telephone | 7607100819 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | PETER F MORRIS (PRESIDENT, CTC DIVISION) |
| Authorized Official Telephone | 6157211297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144239708 | Williamson Treatment Center, LLC | Public Health or Welfare | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2006-08-05 |
| 1710389655 | Williamson Treatment Center, LLC | Clinic/Center | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2014-09-23 |
| Street Address |
1609 W 3RD AVE |
| City | WILLIAMSON |
| State | WV |
| Zip Code | 25661-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144239708 | Williamson Treatment Center, LLC | Public Health or Welfare | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2006-08-05 |
| 1477939825 | Kimberly N Bogar | Nurse Practitioner | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2015-08-08 |
| 1710389655 | Williamson Treatment Center, LLC | Clinic/Center | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2014-09-23 |
| 1194943662 | Kristy Adkins | Licensed Practical Nurse | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-23 |
| 1427274497 | Melvin Cunningham | Counselor | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-18 |
| 1063638047 | Brenton Belcher | Counselor | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-18 |
| 1942425152 | Crystal Hatfield | Licensed Practical Nurse | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-14 |
| 1851516066 | Tracy Hackney | Licensed Practical Nurse | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-14 |
| 1124243332 | Heather Edmiston | Licensed Practical Nurse | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-14 |
| 1396960514 | Leah Marcum | Counselor | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2007-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315715 | Leah Danielle Davis | Technician | Rr 1 200b, Left Fork Marrowbone, Williamson, WV 25661 | 2020-10-30 |
| 1487253209 | Rosalene Diamond | Technician | 398 Davis Branch Road, Wiilliamson, WV 25661 | 2020-10-22 |
| 1295332021 | Mary Ann Hickman | Technician | 144 Lincoln Street, Williamson, WV 25661 | 2020-10-05 |
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1679188320 | Deborah Ann Smith | Technician | 25 Ben Street, Williamson, WV 25661 | 2020-09-10 |
| 1356956262 | Jessica Ann Payne | Technician | 1203 Buffalo Creek Road, Lot#1, Williamson, WV 25661 | 2020-09-09 |
| 1154934396 | Jahala Kay Kozee | Technician | 164 Us Rt. 52, Williamson, WV 25661 | 2020-08-27 |
| 1952914186 | Ruth Elaine Kirk | Technician | 45 Wincole Lane, Williamson, WV 25661 | 2020-08-27 |
| 1831702208 | Mary Elizabeth Gilman | Technician | 436 State Route 65, Williamson, WV 25661 | 2020-08-26 |
| 1437760253 | Dianna Lynn Brown | Technician | 21 Old Field Branch Road, Williamson, WV 25661 | 2020-08-14 |
| Find all providers in zip 25661 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710389655 | Williamson Treatment Center, LLC | Clinic/Center | 1609 W 3rd Ave, Williamson, WV 25661-3006 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598167496 | Beckley Treatment Center, LLC | Clinic/Center | 175 Philpott Ln, Beaver, WV 25813-9501 | 2014-09-23 |
| 1629290127 | Martinsburg Institiute | Clinic/Center | 223 Eagle School Rd, Martinsburg, WV 25404-3367 | 2007-05-03 |
| 1013029156 | Clarksburg Treatment Center | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2006-08-31 |
| 1982614772 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2006-08-08 |
| 1043229594 | Beckley Treatment Center | Clinic/Center | 175 Philpot Lane, Beaver, WV 25813 | 2006-08-05 |
| 1255349445 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2006-08-03 |
| 1982268405 | Msrc, LLC | Clinic/Center | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2019-04-30 |
| 1891201703 | Wheeling Treatment Center, LLC | Clinic/Center | 40 Orrs Ln, Triadelphia, WV 26059-1455 | 2017-12-15 |
| 1124533930 | Clarksburg Treatment Center, LLC | Clinic/Center | 706 Oakmound Rd, Clarksburg, WV 26301-9398 | 2017-12-04 |
| 1497260202 | Huntington Treatment Center, LLC | Clinic/Center | 135 4th Ave, Huntington, WV 25701-1219 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSON |
| Zip Code | 25661 |
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| 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.