Provider Demographics
NPI:1841767639
Name:WILLIAMS, DEBRA K (D & M TRANSPORTATION)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:D & M TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 BILLINGS ST # 80239
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-3760
Mailing Address - Country:US
Mailing Address - Phone:303-803-8854
Mailing Address - Fax:303-999-0206
Practice Address - Street 1:5524 BILLINGS ST # 80239
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-3760
Practice Address - Country:US
Practice Address - Phone:303-803-8854
Practice Address - Fax:303-999-0206
Is Sole Proprietor?:No
Enumeration Date:2018-10-30
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82-45-82890Medicaid