Provider Demographics
NPI:1134407141
Name:WILLIAMS-SYLVESTER, LORNITTA F (PSYD, RN)
Entity type:Individual
Prefix:DR
First Name:LORNITTA
Middle Name:F
Last Name:WILLIAMS-SYLVESTER
Suffix:
Gender:F
Credentials:PSYD, RN
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Mailing Address - Street 1:700 8TH AVE W STE 101
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4737
Mailing Address - Country:US
Mailing Address - Phone:941-776-4008
Mailing Address - Fax:941-845-4963
Practice Address - Street 1:725 N 12TH AVE BLDG B
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8752
Practice Address - Country:US
Practice Address - Phone:863-494-1242
Practice Address - Fax:963-491-0466
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2020-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPY 8306103TC0700X
FLPY8306103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical