Williams, Evelyn

Williams, Evelyn is an sole proprietor health care provider with primary practice located at 20348 E Warner Rd , Mesa AZ 85212-9655. She recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Poetry Therapist, Other Service Providers / Lodging, Agencies / Day Training, Developmentally Disabled Services, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Transportation Services / Private Vehicle, Agencies / Community/Behavioral Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Counselor, Ambulatory Health Care Facilities / Adult Day Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is her primary health care specialty. Williams, Evelyn can be contacted via phone (480) 751-7483.

Contact Information

Primary practice address
20348 E Warner Rd Mesa AZ 85212-9655
Phone: (480) 751-7483
Fax: (480) 279-3828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Poetry Therapist 102X00000X
Other Service Providers / Lodging 177F00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Transportation Services / Private Vehicle 347C00000X
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1548417231
LBN Legal business name Williams, Evelyn
Credentials CLINICAL DIRECTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2008
Last updated Nov 9th, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548417231 NPPES
Arizona MEDICAID 438547

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