Provider Demographics
NPI:1982077129
Name:WILLIAMS, STANLEY S II (MED)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:S
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-4822
Mailing Address - Country:US
Mailing Address - Phone:405-205-7171
Mailing Address - Fax:
Practice Address - Street 1:6715 N MAY AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-3437
Practice Address - Country:US
Practice Address - Phone:405-602-4705
Practice Address - Fax:405-242-2190
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health