Provider Demographics
NPI:1225169501
Name:WILLIAMS, TONI MARIE (BS CADCII)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:MARIE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BS CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 WEST GRAY STREET
Mailing Address - Street 2:SUITE 140
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069
Mailing Address - Country:US
Mailing Address - Phone:405-919-1616
Mailing Address - Fax:405-360-1616
Practice Address - Street 1:330 WEST GRAY STREET
Practice Address - Street 2:SUITE 140
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-919-6821
Practice Address - Fax:405-360-1616
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAWILLITM469BK101YA0400X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)