Williams, Jenell Tiora

Williams, Jenell Tiora is an individual health care provider with primary practice located at 79 W Alexandrine St , Detroit MI 48201-2015. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Williams, Jenell Tiora can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine St Detroit MI 48201-2015
Phone: (313) 831-5535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X Michigan

Profile Details

NPI number 1396412003
LBN Legal business name Williams, Jenell Tiora
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Nov 22nd, 2022 - about 3 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 1396412003 NPPES
Michigan MEDICAID 1396412003

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