Williams, Amy R
Williams, Amy R is an individual health care provider with primary practice located at 1101 Morgan Street Suite 8, Paragould AR 72450-2848. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams, Amy R can be contacted via phone (870) 335-9483.Contact Information
Primary practice address
1101 Morgan Street Suite 8
Paragould AR 72450-2848
Phone: (870) 335-9483
Fax: (870) 335-9487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6212-M | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6212-C | Arkansas |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6212-M |
Profile Details
| NPI number | 1164964656 |
|---|---|
| LBN Legal business name | Williams, Amy R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2016 |
| Last updated | Aug 3rd, 2021 - about 5 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 | 1164964656 | NPPES |
| Arkansas | MEDICAID | 227352795 |
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