Healthcare Provider Details

I. General information

NPI: 1740946003
Provider Name (Legal Business Name): WILLIAMS CONSULTING, CREATING OPPORTUNITIES FOR ADVANCEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 11/11/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13109 FAULKNER LAKE RD
NORTH LITTLE ROCK AR
72117-5358
US

IV. Provider business mailing address

13109 FAULKNER LAKE RD
NORTH LITTLE ROCK AR
72117-5358
US

V. Phone/Fax

Practice location:
  • Phone: 501-590-2488
  • Fax: 501-325-9640
Mailing address:
  • Phone: 501-590-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAKIA DENIESE WILLIAMS
Title or Position: CEO/OWNER
Credential:
Phone: 501-613-7559