ANDREA WILLIAMS (NPI# 1306365069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306365069 |
| Entity Type | Individual |
| Full Name | ANDREA WILLIAMS |
| Practice Address |
867 Commerce Dr Sw Conyers GA 30094-6604 |
| Mailing Address |
6339 Robins Nest Stone Mountain GA 30087-4976 |
| Practice Telephone | 7706794043 |
| Mailing Telephone | 6787909313 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1073142790 | Andrea Williams | Developmental Therapist | 50 Faith Ct Apt 12, Somerset, KY 42503-5887 | 2020-04-04 |
| 1992331714 | Andrea Williams | Nurse Practitioner | 55 Mckenzie Cv, Marion, AR 72364-2661 | 2020-03-13 |
| 1669002861 | Andrea Williams | Case Manager/Care Coordinator | 3200 Taft Park, Metairie, LA 70002-5736 | 2020-01-16 |
| 1386287977 | Andrea Janette Williams | Massage Therapist | 2440 Hwy 258n, Kinston, NC 28504-7203 | 2019-10-25 |
| 1114466869 | Andrea Michelle Williams | Psychologist | 10665 Stanhaven Pl Ste 3119, White Plains, MD 20695-3055 | 2017-02-14 |
| 1588100697 | Andrea Denise Williams | Home Health Aide | 319 Knob Hill Dr, 227 Kilmaine Court, Jackson, MS 39209-2822 | 2017-01-12 |
| 1669923678 | Andrea Lynn Williams | Registered Nurse | 15280 Shay Cut Off Rd, Kingston, OK 73439-8149 | 2016-10-14 |
| 1265803530 | Andrea Williams | Registered Nurse | 500 Congaree Church Rd, Gadsden, SC 29052-9713 | 2015-10-13 |
| 1447664545 | Andrea Renee Williams | Emergency Medicine | 799 Farson St - Emergency Department, Belpre, OH 45714 | 2014-06-17 |
| Street Address |
867 COMMERCE DR SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043593791 | Raven Counseling Services, Inc. | Community/Behavioral Health | 867 Commerce Dr Sw, Suite 200-400, Conyers, GA 30094-6604 | 2011-09-20 |
| 1811553290 | Kendia Adams | Counselor | 867 Commerce Dr Sw, Conyers, GA 30094-6604 | 2019-05-12 |
| 1184133639 | Audrey Faustima | Counselor | 867 Commerce Dr Sw, Conyers, GA 30094-6604 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1093326217 | Shaunda Ayana Jones | Counselor | 2124 Blueberry Ln, Conyers, GA 30013-1476 | 2020-08-11 |
| 1508484627 | Star-jabrea Farrington | Counselor | 323 Saint Clair Dr, Conyers, GA 30094-4968 | 2020-07-07 |
| 1588138911 | Candice Waller | Counselor | 2856 Bridle Creek Dr Sw, Conyers, GA 30094-5677 | 2019-01-18 |
| 1336636133 | Friends In Transformation LLC | Counselor | 2031 Gees Mill Rd Ne Ste 102, Conyers, GA 30013-1328 | 2018-04-17 |
| 1457853160 | Charonda Gardner | Counselor | 3205 Salem Rd Se, Conyers, GA 30013-5302 | 2018-03-08 |
| 1083124762 | Graceol Counseling Center Inc | Counselor | 1035 Honey Creek Rd Se, Conyers, GA 30013-2948 | 2017-10-06 |
| 1356851547 | Melissa Morgan | Counselor | 532 Saint Clair Dr, Conyers, GA 30094-4972 | 2017-10-03 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1225570062 | Lakesha Link | Counselor | 1936 Iris Dr Sw, Conyers, GA 30094-1245 | 2016-11-10 |
| Find all providers in CONYERS | ||||
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| 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.