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 |