REBECCA J CORNELL


Address: 5477 Mooretown Rd, Williamsburg, VA 23188-2108
Phone: 7579416359

REBECCA J CORNELL (NPI# 1073082962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073082962
Entity Type Individual
Full Name REBECCA J CORNELL
Credential LSATP, LCADC, CSAC
Practice Address 5477 Mooretown Rd
Williamsburg
VA 23188-2108
Mailing Address 1240 W Ocean View Ave Apt 6
Norfolk
VA 23503-1181
Practice Telephone 7579416359
Mailing Telephone 8595391451
Enumeration Date 2018-11-20
Last Update Date 2018-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
ADCLAD00225433 KY Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0718000319 VA Behavioral Health & Social Service Providers
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0710101660 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4460 Corporation Ln, Virginia Beach, VA 234623150 7574900377

Office Location

Street Address 5477 MOORETOWN RD
City WILLIAMSBURG
State VA
Zip Code 23188-2108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215030549 Krista Pine Psychiatry & Neurology 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2006-09-05
1164905709 Gary Lee Baker Counselor 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2018-09-10
1679056535 Justin Mangold Counselor 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2018-09-07
1336621226 Cynthia Betts Social Worker 5477 Mooretown Rd, Williamsburg, VA 23188 2018-09-06
1629576590 Stephen Lynn Simmers Counselor 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2018-01-25
1821503160 Andreas Bienert Counselor 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2017-12-08
1033544606 Odessa Ochoa Physician Assistant 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2013-09-13
1164703401 Susan N Walkley Nurse Practitioner 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2011-08-31
1861714404 Van Aiken Deblieux Counselor 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2010-02-24
1740450055 Penelope Proctor Ziegler Psychiatry & Neurology 5477 Mooretown Rd, Williamsburg, VA 23188-2108 2008-03-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992287833 Kathryn Goss Atanasov Counselor Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 2018-09-06
1386180933 Brittany Marie Purdy Physical Therapist 6425 Richmond Road, Williamsburg, VA 23188 2017-01-06
1770930745 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 6485 Centerville Rd, Williamsburg, VA 23188 2016-05-19
1073979738 Sharon Harper Social Worker 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 2016-01-12
1710362819 Diamond Healthcare Social Worker 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 2015-07-30
1922489749 Uc Davis Medical Center General Acute Care Hospital 3905 Cold Spring Rd, Williamsburg, VA 23188 2015-06-17
1013326214 Deandra Smith Developmental Therapist 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 2014-08-13
1255751590 Lisa Marie Frazier Counselor 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 2014-04-25
1972883569 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 7529 Richmond Rd, Williamsburg, VA 23188 2011-08-26
1720386816 Harry Leon White Pharmacist 114 Molesey Hurst, Williamsburg, VA 23188 2011-03-14
Find all providers in zip 23188

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063035301 Isobelle Morrison Counselor 705 Prosperity Ct, Williamsburg, VA 23188-3035 2020-05-21
1992287833 Kathryn Goss Atanasov Counselor Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 2018-09-06
1245601863 Jordan Luck Counselor 372 Mclaws Cir Ste 1&2, Williamsburg, VA 23185-5636 2015-10-08
1528473956 Khara J.b. Randall Counselor 1158 Professional Dr Ste N, Williamsburg, VA 23185-6618 2014-06-24
1467874099 Pamela Kayanan Counselor 921 Capitol Landing Road, Colonial Behavioral Health, Williamsburg, VA 23185 2014-01-16
1114048808 White Deer Run LLC Counselor Rr 1 Box 79, New Beginnings Road, Williamsburg, PA 16693-9673 2007-04-02
1144376112 Bacon Street Youth and Family Services Counselor 247 Mclaws Circle, Williamsburg, VA 23185 2007-01-25
1740359926 Eric Keith Hardison Counselor 1769 Jamestown Rd Ste 206, Williamsburg, VA 23185-2307 2006-11-06
1912960204 Pamela Cappetta Counselor 362 Mclaws Cir, Suite 2, Williamsburg, VA 23185-5648 2006-04-08
1972591972 Robert Eugene Coleman Counselor 1158 Professional Dr Ste M, Williamsburg, VA 23185-6618 2005-10-12
Find all providers in WILLIAMSBURG

Competitor

Search similar providers

City WILLIAMSBURG
Zip Code 23188

Improve Information

Please comment or provide details below to improve the information on REBECCA J CORNELL.

Dataset Information

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.

Trending Searches