Williams, Kendra M

Williams, Kendra M is an sole proprietor health care provider with primary practice located at 920 Nw 7Th Ave , Fort Lauderdale FL 33311-7229. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Williams, Kendra M can be contacted via phone (954) 779-3990.

Contact Information

Primary practice address
920 Nw 7Th Ave Fort Lauderdale FL 33311-7229
Phone: (954) 779-3990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH14545 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH14545 Florida
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH14545 Florida

Profile Details

NPI number 1689051237
LBN Legal business name Williams, Kendra M
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2015
Last updated Mar 3rd, 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 1689051237 NPPES
Florida MEDICAID 020477600

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