ANTHONY WILLIAMS (NPI# 1083073068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083073068 |
Entity Type | Individual |
Full Name | ANTHONY WILLIAMS |
Credential | LCDC |
Practice Address |
2709 17th St S St Petersburg FL 33712-3603 |
Practice Telephone | 5127314947 |
Mailing Telephone | 5127314947 |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4280 A | FL | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
901 | GA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
8262 | TX | Behavioral Health & Social Service Providers |
N | 225700000X | Massage Therapist | MT105186 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | CADC-I | 901 | 01 |
TX | LMT | 105186 | 01 |
FL | CAC | 4280 A | 01 |
TX | LCDC | 8262 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174152508 | Anthony Williams | Technician | 1525 Watercreek Dr, North Las Vegas, NV 89032-3118 | 2020-04-07 |
1134766520 | Anthony Williams | Nurse Practitioner | 4633 Stratford Ln, Columbus, OH 43232-6179 | 2019-12-04 |
1841643996 | Anthony Brandon Williams Sr. | Social Worker | 201 Fenno St, Quincy, MA 02170-3959 | 2016-07-13 |
1275816076 | Anthony Robert Williams | Pharmacist | 1051 Fenton Park Dr, Fenton, MO 63026-7613 | 2011-09-28 |
1336433275 | Anthony Williams | Preventive Medicine | 1660 Windway Ct, Blacklick, OH 43004-9644 | 2011-06-08 |
1538493705 | Anthony D Williams | Orthotist | 937 Coffee Rd Ste 1, Modesto, CA 95355-4240 | 2009-09-22 |
1437331451 | Anthony Ladon Williams | Pharmacy Technician | 2420 Simmons St Unit A, Dupont, WA 98327-7764 | 2007-11-30 |
1356497424 | Anthony Joseph Williams | Dentist | 200 Stanaford Road, Beckley, WV 25801 | 2007-01-25 |
1952458598 | Anthony James Williams | Counselor | 7505 Pines Rd Ste 1292, Shreveport, LA 71129-3900 | 2007-01-05 |
1326123241 | Anthony Williams | Dentist | 817 Nw Vesper St, Blue Springs, MO 64015-3733 | 2006-10-26 |
Street Address |
2709 17TH ST S |
City | ST PETERSBURG |
State | FL |
Zip Code | 33712-3603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
Find all providers in zip 33712 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659983609 | Mindful Ways To Wellness | Counselor | 735 Arlington Ave N Ste 209, St Petersburg, FL 33701-3653 | 2020-08-20 |
1578031068 | The Well for Life, LLC | Counselor | 833 22nd St S Ste B, St Petersburg, FL 33712-2250 | 2018-11-02 |
1194164939 | Robert Lynn Neri | Counselor | 5999 Central Ave Ste 401, St Petersburg, FL 33710 | 2013-06-14 |
1932419678 | Gerald Milton Syrkett | Counselor | 3730 42nd Way S, #l, St Petersburg, FL 33711-4077 | 2010-10-15 |
1508096694 | Hal Bishop, Lcsw, Pa | Counselor | 1905 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2009-07-22 |
1053540583 | Jeanette B Reid | Counselor | 6161 9th St N, Suite 201, St Petersburg, FL 33703-1104 | 2009-07-06 |
1194982967 | Hector Luis Ortiz | Counselor | 8254 40th Ave N, St Petersburg, FL 33709-3933 | 2008-05-20 |
1417078064 | Charmaine Keller | Counselor | 2730 Central Ave, St Petersburg, FL 33712-1153 | 2007-04-02 |
1053446823 | Alice Marie Savage | Counselor | 6440 First Ave North, St Petersburg, FL 33710 | 2007-02-22 |
1568535235 | M Shawn Kellerman | Counselor | 3110 1st Ave N 2nd Floor Suite 6w, St Petersburg, FL 33733-6524 | 2006-11-17 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33712 |
Please comment or provide details below to improve the information on ANTHONY WILLIAMS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.