Doctor Name: | MRS. TASHAYLA WILLIAMS |
NPI Number: | 1063879468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LC6803 |
Business Practice Address: | 907 Nova Ave Capitol Heights, MD - 207434060 |
Business Phone Number: | 2402105451 |
Business Fax Number: | |
Mailing Address: | 907 Nova Ave, CAPITOL HEIGHTS |
State: | MD |
Postal Code: | 207434060 |
Phone Number: | 2402105451 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2016 |
NPI Last Update Date: | 01/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC6803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |