Provider Demographics
NPI:1578263349
Name:WILLIAMS, DEBRA DEBORAH (ND)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:DEBORAH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 GAIRLOCK PL
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3755
Mailing Address - Country:US
Mailing Address - Phone:301-367-3451
Mailing Address - Fax:
Practice Address - Street 1:1151 N WESLEYAN BLVD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-1840
Practice Address - Country:US
Practice Address - Phone:252-285-3077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171400000XOther Service ProvidersHealth & Wellness Coach
No175F00000XOther Service ProvidersNaturopath