Provider Demographics
NPI:1023398781
Name:RAGINS-WILLIAMS, DELL W (LCAS-P)
Entity Type:Individual
Prefix:
First Name:DELL
Middle Name:W
Last Name:RAGINS-WILLIAMS
Suffix:
Gender:F
Credentials:LCAS-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8209 UNIVERSITY RIDGE DR
Mailing Address - Street 2:APT. #208
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4113
Mailing Address - Country:US
Mailing Address - Phone:980-875-9126
Mailing Address - Fax:980-875-9126
Practice Address - Street 1:8209 UNIVERSITY RIDGE DR
Practice Address - Street 2:APT. #208
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4113
Practice Address - Country:US
Practice Address - Phone:980-875-9126
Practice Address - Fax:980-875-9126
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)