Williams, Ada
Williams, Ada is an individual health care provider with primary practice located at 11225 Graben Dr , Saint Ann MO 63074-3316. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Williams, Ada can be contacted via phone (314) 616-5619.Contact Information
Primary practice address
11225 Graben Dr
Saint Ann MO 63074-3316
Phone: (314) 616-5619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2018017741 | Missouri |
Profile Details
| NPI number | 1952893570 |
|---|---|
| LBN Legal business name | Williams, Ada |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2018 |
| Last updated | Jan 11th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952893570 | NPPES |
| Missouri | MEDICAID | 430652622 |
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