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Cedric Wilson, Lpc, Llc
Adolescent and Children Mental Health Clinic/Center in Roanoke, Virginia
NPI 1013502137

Cedric Wilson, Lpc, Llc is an Adolescent and Children Mental Health Clinic/Center based in Roanoke, VA and is specialized in Adolescent and Children Mental Health. Cedric Wilson, Lpc, Llc practices in Roanoke, VA. The NPI Number for Cedric Wilson, Lpc, Llc is 1013502137 and holds a License No. (Virginia).

The current practice location address for Cedric Wilson, Lpc, Llc is 3048 Brambleton Ave Sw, Roanoke, VA and can be reached out via phone at 540-339-7674 and via fax at 540-685-0994.

Location: 3048 Brambleton Ave Sw, Roanoke, VA, 24015-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013502137
Provider Name
Cedric Wilson, Lpc, Llc
Credential
Provider Entity Type
Organization
Address
3048 Brambleton Ave Sw, Roanoke, VA, 24015-4609
Phone Number
540-339-7674
Fax Number
540-685-0994
Provider Enumeration Date
03/02/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3048 Brambleton Ave Sw
City
Roanoke
State
Virginia
Zip
24015-4404
Phone Number
540-339-7674
Fax Number
540-685-0994
person
Provider Business Mailing Address Details
Address
3048 Brambleton Ave Sw
City
Roanoke
State
Virginia
Zip
24015-4404
Phone Number
540-339-7674
Fax Number
540-685-0994
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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