Provider Demographics
NPI:1508419672
Name:WILLIAMS, FLORA
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
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 1:3330 SOUTHGATE CT SW STE 101
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-5406
Mailing Address - Country:US
Mailing Address - Phone:319-449-1444
Mailing Address - Fax:319-409-8260
Practice Address - Street 1:3330 SOUTHGATE CT SW STE 101
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-5406
Practice Address - Country:US
Practice Address - Phone:319-449-1444
Practice Address - Fax:319-409-8260
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist