Doctor Name: | MR. ANTHONY WILLIAMS |
NPI Number: | 1073522041 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | 053-030W |
Business Practice Address: | 400 Veterans Ave Biloxi, MS - 395312410 |
Business Phone Number: | 2285235433 |
Business Fax Number: | 2285234754 |
Mailing Address: | 700 W Old Pass Rd, LONG BEACH |
State: | MS |
Postal Code: | 395605420 |
Phone Number: | 2288659945 |
Fax Number: | 2285234754 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 053-030W |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |