Provider Demographics
NPI:1467673988
Name:WILLIAMS, RALPH H (LCDP II)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:H
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:LCDP II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-3825
Mailing Address - Country:US
Mailing Address - Phone:401-556-2980
Mailing Address - Fax:
Practice Address - Street 1:1436 MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-3825
Practice Address - Country:US
Practice Address - Phone:401-556-2980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP-231101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)