Organization Name: | SANDRA L WILLIAMS |
NPI Number: | 1134247208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA LYNN WILLIAMS (OWNER) |
Mailing Address: | 2229 Hwy 25b North Heber Springs |
State: | AR US |
Postal Code: | 72543 |
Phone Number: | 5012500000 |
Fax Number: | 5013620915 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |