Provider Demographics
NPI:1437464252
Name:SHARON WILLIAMS
Entity Type:Organization
Organization Name:SHARON WILLIAMS
Other - Org Name:RUKA MAE FOUNDATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-336-8470
Mailing Address - Street 1:3805 RIDGEMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-1948
Mailing Address - Country:US
Mailing Address - Phone:901-336-8470
Mailing Address - Fax:901-384-9797
Practice Address - Street 1:3805 RIDGEMONT AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-1948
Practice Address - Country:US
Practice Address - Phone:901-336-8470
Practice Address - Fax:901-384-9797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty