WILLIAMSBURG INDOOR SPORTS COMPLEX NPI 1538785795

NPI Information

NPI: 1538785795
Provider Name: WILLIAMSBURG INDOOR SPORTS COMPLEX
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5700 WARHILL TRL
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 253-1947
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WILLIAMSBURG INDOOR SPORTS COMPLEX is a professional counselor in Williamsburg, VA. WILLIAMSBURG INDOOR SPORTS COMPLEX NPI is 1538785795. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5700 WARHILL TRL
WILLIAMSBURG, VA
ZIP 23188-419
Phone: (757) 253-1947

The provider's authorized official is Kaimare Laird .
The authorized official title is Director Of Integrated Health and has the following contact phone number (312) 351-5982.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 6/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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