Provider Demographics
NPI:1437919941
Name:WILLIAMS, AMANDA BETH (MSW-I)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:BETH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BEAR PL UNIT 97320
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76798-7320
Mailing Address - Country:US
Mailing Address - Phone:254-710-6400
Mailing Address - Fax:
Practice Address - Street 1:1925 DOMINION WAY FL 1
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1483
Practice Address - Country:US
Practice Address - Phone:719-300-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program