Healthcare Provider Details

I. General information

NPI: 1255260287
Provider Name (Legal Business Name): WILLIAM WILKINS MA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9211 FOREST HILL AVE
RICHMOND VA
23235-6874
US

IV. Provider business mailing address

4075 MINERAL SPRINGS LN APT 3C
GLEN ALLEN VA
23060-4175
US

V. Phone/Fax

Practice location:
  • Phone: 686-207-2262
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: