Williams, Anthony

Williams, Anthony is an individual health care provider with primary practice located at 2709 17Th St S , St Petersburg FL 33712-3603. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Williams, Anthony can be contacted via phone (512) 731-4947.

Contact Information

Primary practice address
2709 17Th St S St Petersburg FL 33712-3603
Phone: (512) 731-4947
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8262 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 901 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4280 A Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT105186 Texas

Profile Details

NPI number 1083073068
LBN Legal business name Williams, Anthony
Credentials LCDC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2016
Last updated Feb 19th, 2016 - about 10 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 1083073068 NPPES
Texas Other 8262 LCDC
Texas Other 4280 A LCDC
Texas Other 901 LCDC
Texas Other 105186 LCDC

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