Williams, Wanda Faye
Williams, Wanda Faye is an sole proprietor health care provider with primary practice located at 716 Rosenwald St , Hollandale MS 38748-3130. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Williams, Wanda Faye can be contacted via phone (662) 347-3969.Contact Information
Primary practice address
716 Rosenwald St
Hollandale MS 38748-3130
Phone: (662) 347-3969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | BSW00000009501164319 | Tennessee |
Profile Details
| NPI number | 1821687740 |
|---|---|
| LBN Legal business name | Williams, Wanda Faye |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2021 |
| Last updated | Jan 14th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821687740 | NPPES |
| Mississippi | MEDICAID | 0000000000000 |
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