Provider Demographics
NPI:1710106133
Name:WILLIAMS, SHEAMEKAH SHEREE
Entity Type:Individual
Prefix:
First Name:SHEAMEKAH
Middle Name:SHEREE
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 1:24100 MONTGOMERY
Mailing Address - Street 2:
Mailing Address - City:BOYNTON
Mailing Address - State:OK
Mailing Address - Zip Code:74422-4032
Mailing Address - Country:US
Mailing Address - Phone:918-698-5203
Mailing Address - Fax:
Practice Address - Street 1:114 N GRAND AVE STE 418
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-4032
Practice Address - Country:US
Practice Address - Phone:918-756-2218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker