Provider Demographics
NPI:1467971580
Name:WILLIAMS, SHEREE LEZETTE
Entity Type:Individual
Prefix:MS
First Name:SHEREE
Middle Name:LEZETTE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WOODROSE CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-1610
Mailing Address - Country:US
Mailing Address - Phone:646-255-2442
Mailing Address - Fax:
Practice Address - Street 1:20 WOODROSE CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-1610
Practice Address - Country:US
Practice Address - Phone:646-255-2442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No174400000XOther Service ProvidersSpecialist