CORNELIUS WILLIAMS (NPI# 1124587720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124587720 |
| Entity Type | Individual |
| Full Name | CORNELIUS WILLIAMS |
| Practice Address |
121 Young St Henderson NC 27536-4248 |
| Mailing Address |
Po Box 2002 Henderson NC 27536-2002 |
| Practice Telephone | 2525981008 |
| Mailing Telephone | 2522041381 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-091-110 | NC | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215389184 | Cornelius Williams | Counselor | 803 W Bayou Pines Dr Ste D, Lake Charles, LA 70601-7096 | 2016-07-05 |
| 1942786801 | Cornelius Williams Jr. | Chore Provider | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2018-07-13 |
| Street Address |
121 YOUNG ST |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-4248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174082036 | Guardian Angel Healthcare, LLC | Community/Behavioral Health | 121 Young St, Henderson, NC 27536-4248 | 2019-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1881207231 | Beyond Counseling & Consulting, LLC | Community/Behavioral Health | 10120 S Eastern Ave Ste 200, Henderson, NV 89052-3926 | 2020-08-26 |
| 1578171807 | Second Chances Behavioral Health | Community/Behavioral Health | 2715 Briarcliff Ave, Henderson, NV 89074-1210 | 2020-07-22 |
| 1861021438 | Raquel Martinez | Community/Behavioral Health | 870 Seven Hills Dr Ste 203, Henderson, NV 89052-4379 | 2020-04-06 |
| 1417506080 | Common Sense Behavioral Health | Community/Behavioral Health | 2722 Briarcliff Ave, Henderson, NV 89074-1251 | 2019-09-06 |
| 1740832617 | Aldis Therapy Services | Community/Behavioral Health | 2990 Sunrdg Hgts Ste 140, Henderson, NV 89052-4469 | 2019-07-11 |
| 1801356316 | Guardian Angel Healthcare, LLC | Community/Behavioral Health | 123 Young St, Henderson, NC 27536-4248 | 2019-03-21 |
| 1093274649 | Yasmene Kyle | Community/Behavioral Health | 339 Tin St Apt 522, Henderson, NV 89015-7392 | 2019-03-13 |
| 1124599840 | Able Mental Health Agency | Community/Behavioral Health | 764 Golden Sedum Dr, Henderson, NV 89011-2641 | 2018-12-06 |
| 1346737103 | Opulent Mind Center | Community/Behavioral Health | 3136 Via Festiva, Henderson, NV 89044-0283 | 2018-04-17 |
| Find all providers in HENDERSON | ||||
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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.