Healthcare Provider Details

I. General information

NPI: 1720925852
Provider Name (Legal Business Name): MONETHA WILLIAMS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3813 INKSTER RD
INKSTER MI
48141-3069
US

IV. Provider business mailing address

11690 ROSEMONT AVE
DETROIT MI
48228-1133
US

V. Phone/Fax

Practice location:
  • Phone: 734-931-6164
  • Fax: 734-931-6164
Mailing address:
  • Phone: 734-931-6164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6401014898
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: