Provider Demographics
NPI:1104217611
Name:DAWSON J WILLIAMS
Entity Type:Organization
Organization Name:DAWSON J WILLIAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DAWSON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LAMFT
Authorized Official - Phone:501-837-9723
Mailing Address - Street 1:112 FAIR OAKS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-4280
Mailing Address - Country:US
Mailing Address - Phone:501-837-9723
Mailing Address - Fax:
Practice Address - Street 1:4700 W COMMERCIAL DR STE B1
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-8089
Practice Address - Country:US
Practice Address - Phone:501-837-9723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARF1501002251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health