Williams, Deanna L

Williams, Deanna L is an individual health care provider with primary practice located at 3757 Santa Rosalia Drive #628, Los Angeles CA 90008. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Williams, Deanna L can be contacted via phone (404) 750-5623.

Contact Information

Primary practice address
3757 Santa Rosalia Drive #628 Los Angeles CA 90008
Phone: (404) 750-5623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1902335078
LBN Legal business name Williams, Deanna L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jun 12th, 2017 - about 8 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 1902335078 NPPES
California MEDICAID 954505783

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