Provider Demographics
NPI:1750050803
Name:WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT, LLC
Entity Type:Organization
Organization Name:WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKIA
Authorized Official - Middle Name:DENIESE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-613-7559
Mailing Address - Street 1:13109 FAULKNER LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72117-5358
Mailing Address - Country:US
Mailing Address - Phone:501-590-2488
Mailing Address - Fax:
Practice Address - Street 1:1123 S UNIVERSITY AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204
Practice Address - Country:US
Practice Address - Phone:501-590-2488
Practice Address - Fax:501-325-9640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-12
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service