Healthcare Provider Details

I. General information

NPI: 1285386078
Provider Name (Legal Business Name): LENICE WILLIAMS CHWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2022
Last Update Date: 04/30/2024
Certification Date: 04/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 WADE STREET
CINCINNATI OH
45214-4521
US

IV. Provider business mailing address

1623 DALTON AVE UNIT 14691
CINCINNATI OH
45250-7540
US

V. Phone/Fax

Practice location:
  • Phone: 513-236-7558
  • Fax:
Mailing address:
  • Phone: 513-236-7558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: