Provider Demographics
| NPI: | 1841417557 |
|---|---|
| Name: | WILLIAMS, ROBIN (BA CMA) |
| Entity type: | Individual |
| Prefix: | MS |
| First Name: | ROBIN |
| Middle Name: | |
| Last Name: | WILLIAMS |
| Suffix: | |
| Gender: | F |
| Credentials: | BA CMA |
| Other - Prefix: | MS |
| Other - First Name: | ROBIN |
| Other - Middle Name: | |
| Other - Last Name: | WILLIAMS |
| Other - Suffix: | |
| Other - Last Name Type: | Other Name |
| Other - Credentials: | BA CMA |
| Mailing Address - Street 1: | 2202 E 49TH ST STE 400 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | TULSA |
| Mailing Address - State: | OK |
| Mailing Address - Zip Code: | 74105-8714 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 918-749-1840 |
| Mailing Address - Fax: | 918-749-1841 |
| Practice Address - Street 1: | 2202 E 49TH ST STE 400 |
| Practice Address - Street 2: | |
| Practice Address - City: | TULSA |
| Practice Address - State: | OK |
| Practice Address - Zip Code: | 74105-8714 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 918-749-1840 |
| Practice Address - Fax: | 918-749-1841 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2007-04-20 |
| Last Update Date: | 2021-07-31 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional |
| No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) |
| No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health |