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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1689051237 | NPPES |
| Florida | MEDICAID | 020477600 |
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