Provider Demographics
NPI:1417123845
Name:WILLIAMS, TAUCHIANA JAHNALE (DSW, LCSW)
Entity Type:Individual
Prefix:DR
First Name:TAUCHIANA
Middle Name:JAHNALE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DSW, LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1530 N GREGSON ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-1155
Mailing Address - Country:US
Mailing Address - Phone:919-416-1830
Mailing Address - Fax:919-416-8883
Practice Address - Street 1:1530 N GREGSON ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-1155
Practice Address - Country:US
Practice Address - Phone:919-416-1830
Practice Address - Fax:919-416-8883
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0060411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical