Healthcare Provider Details

I. General information

NPI: 1295440378
Provider Name (Legal Business Name): JANITA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 N MARKET ST
BATAVIA OH
45103-2906
US

IV. Provider business mailing address

33 N MARKET ST
BATAVIA OH
45103-2906
US

V. Phone/Fax

Practice location:
  • Phone: 937-240-3020
  • Fax: 513-449-4544
Mailing address:
  • Phone: 937-240-3020
  • Fax: 513-449-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.194759
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: