MS. WANDA LACAROL WILLIAMS


Address: 6570 N 80th St, 208#, Milwaukee, WI 53223-5579
Phone: 4147608653

MS. WANDA LACAROL WILLIAMS (NPI# 1639484652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639484652
Entity Type Individual
Full Name MS. WANDA LACAROL WILLIAMS
Credential MASTER'S SOCIAL WORK
Practice Address 6570 N 80th St
208#
Milwaukee
WI 53223-5579
Mailing Address 2011 W Capitol Dr
Milwaukee
WI 53206-1939
Practice Telephone 4147608653
Mailing Telephone 4144451400
Mailing Fax Number 4144451406
Enumeration Date 2010-08-13
Last Update Date 2010-08-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15735-130 WI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 1160 05

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Office Location

Street Address 6570 N 80TH ST
208#
City MILWAUKEE
State WI
Zip Code 53223-5579

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1346671302 Atlantic Home Health Care, Inc Home Health 5600 West Brown Deer Road, #216, Brown Deer, WI 53223 2013-12-02
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1528405701 Ground Support Logistics LLC Driver 8200 W Browndeer Rd, Milwaukee, WI 53223 2013-05-29
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
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Competitor

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City MILWAUKEE
Zip Code 53223

Improve Information

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Dataset Information

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.

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