Healthcare Provider Details
I. General information
NPI: 1215820931
Provider Name (Legal Business Name): THE WILLIAMS CENTER FOR HEALTH AND COMMUNITY EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2025
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
602 S KING ST STE 300
LEESBURG VA
20175-3919
US
IV. Provider business mailing address
PO BOX 1201
LEESBURG VA
20177-1201
US
V. Phone/Fax
- Phone: 571-561-3040
- Fax:
- Phone: 571-561-3040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
RODERICK
LAMAR
WILLIAMS
Title or Position: CEO
Credential:
Phone: 571-561-3040