Provider Demographics
NPI:1578570230
Name:WILLIAMS, SONYA REBEKAH
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:REBEKAH
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 1:5441 SW 101ST PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-3685
Mailing Address - Country:US
Mailing Address - Phone:352-861-4839
Mailing Address - Fax:352-861-4239
Practice Address - Street 1:5441 SW 101ST PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-3685
Practice Address - Country:US
Practice Address - Phone:352-861-4839
Practice Address - Fax:352-861-4239
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health