Provider Demographics
NPI:1790097533
Name:WILLIAMS, ALTHEA LORAINE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:ALTHEA
Middle Name:LORAINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:ALTHEA
Other - Middle Name:LORAINE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:7272 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33313-1041
Mailing Address - Country:US
Mailing Address - Phone:954-578-8399
Mailing Address - Fax:954-578-0145
Practice Address - Street 1:7272 W OAKLAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33313-1041
Practice Address - Country:US
Practice Address - Phone:954-578-8399
Practice Address - Fax:954-578-0145
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool