Provider Demographics
NPI:1003549635
Name:DENNIS WILLIAMS MFT
Entity Type:Organization
Organization Name:DENNIS WILLIAMS MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LMFT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:714-234-0906
Mailing Address - Street 1:440 E COMMONWEALTH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2014
Mailing Address - Country:US
Mailing Address - Phone:714-234-0906
Mailing Address - Fax:
Practice Address - Street 1:440 E COMMONWEALTH AVE STE 205
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2014
Practice Address - Country:US
Practice Address - Phone:714-234-0906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1043715840OtherMENTAL HEALTH COUNSELING