TERRY LYNN WILLIAMS (NPI# 1063975464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063975464 |
| Entity Type | Individual |
| Full Name | TERRY LYNN WILLIAMS |
| Credential | CDCA |
| Practice Address |
69 Granville St Newark OH 43055-4983 |
| Mailing Address |
65 Messimer Dr Newark OH 43055-1874 |
| Practice Telephone | 7403457030 |
| Mailing Telephone | 7407880399 |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
167792 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265923379 | Terry Oneal Williams | Adult Companion | 1112 Nw Park Street, Okeechobee, FL 34972 | 2018-05-24 |
| 1356866222 | Terry Williams | Driver | 13812 Litwack Cove Dr, Chester, VA 23836-5827 | 2017-08-11 |
| 1992184196 | Terry Williams | Radiologic Technologist | 422 Sierra Dr, Wilmington, NC 28409-3261 | 2015-05-21 |
| 1659768596 | Terry Charles Williams | Dentist | 17008 E 45th St S, Independence, MO 64055-7630 | 2015-04-17 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| 1164693792 | Terry L Williams | Occupational Therapy Assistant | 1790 Town Park Blvd Ste F, Uniontown, OH 44685-7972 | 2008-03-24 |
| 1245288737 | Terry D Williams | Chiropractor | 219 W 6th Ave, Corsicana, TX 75110-5243 | 2006-05-05 |
| 1811990591 | Terry Williams | Optometrist | 1517 S Oregon St, Yreka, CA 96097-3425 | 2005-05-24 |
| 1558971895 | Terry Jean Williams | Counselor | 10 Shelton Mcmurphey Blvd, Eugene, OR 97401-4928 | 2020-08-02 |
| 1881246288 | Terry Williams | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-07-15 |
| Street Address |
69 GRANVILLE ST |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-4983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659429256 | Spencer Halfway House, Inc. | Substance Abuse Rehabilitation Facility | 69 Granville St, Newark, OH 43055-4983 | 2007-01-08 |
| 1346862927 | Tory A Speakman | Counselor | 69 Granville St, Newark, OH 43055-4983 | 2020-05-18 |
| 1073141065 | Diana L Pierce | Counselor | 69 Granville St, Newark, OH 43055-4983 | 2020-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224133 | Utopia Lavon Session | Counselor | 54 Cheswold Blvd Apt 310, Newark, DE 19713-4160 | 2020-08-04 |
| 1437634474 | Victoria Lynn Garibaldi | Counselor | 37219 Walnut St, Newark, CA 94560-3418 | 2018-09-26 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1134631310 | Mary Desantis | Counselor | 3981 Buffalo Rd, Newark, NY 14513-9230 | 2017-10-28 |
| 1164884631 | Khayyam Bey | Counselor | 82 Somerset St, Newark, NJ 07108-2954 | 2016-03-24 |
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1144603432 | Kerwin Brisbane | Counselor | 146 Ferry St Ste B, Newark, NJ 07105-2133 | 2015-07-04 |
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| Find all providers in NEWARK | ||||
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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.