Provider Demographics
NPI:1629756416
Name:WILLIAMS, AMBER EASTERBELL
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:EASTERBELL
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 1:6159 TYNDALL CIR
Mailing Address - Street 2:
Mailing Address - City:ROMULUS
Mailing Address - State:MI
Mailing Address - Zip Code:48174-1773
Mailing Address - Country:US
Mailing Address - Phone:734-833-8777
Mailing Address - Fax:
Practice Address - Street 1:6159 TYNDALL CIR
Practice Address - Street 2:
Practice Address - City:ROMULUS
Practice Address - State:MI
Practice Address - Zip Code:48174-1773
Practice Address - Country:US
Practice Address - Phone:734-833-8777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst