Healthcare Provider Details

I. General information

NPI: 1013412089
Provider Name (Legal Business Name): DIONNE MARIE WILLIAMS-COLLINS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37450 SCHOOLCRAFT RD
LIVONIA MI
48150-1082
US

IV. Provider business mailing address

18615 ANDREW LN
NEW BOSTON MI
48164-8915
US

V. Phone/Fax

Practice location:
  • Phone: 734-744-0170
  • Fax:
Mailing address:
  • Phone: 313-204-1184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1063895399
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: