Provider Demographics
NPI:1114200672
Name:WILLIAMS, RACHELL ALLEN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:RACHELL
Middle Name:ALLEN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MRS
Other - First Name:RACHELL
Other - Middle Name:ALLEN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1275 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3420
Mailing Address - Country:US
Mailing Address - Phone:248-895-3558
Mailing Address - Fax:
Practice Address - Street 1:1275 ASHLEY DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3420
Practice Address - Country:US
Practice Address - Phone:248-895-3558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010197651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical