Provider Demographics
NPI:1437902731
Name:WILLIAMS, ANGELA MERICI
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MERICI
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:MERICI
Other - Last Name:WATKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2654 BOYKIN PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4636
Mailing Address - Country:US
Mailing Address - Phone:334-669-4603
Mailing Address - Fax:
Practice Address - Street 1:2654 BOYKIN PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4636
Practice Address - Country:US
Practice Address - Phone:334-669-4603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician