Healthcare Provider Details

I. General information

NPI: 1215800438
Provider Name (Legal Business Name): LASHAWN MONIQUE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4965 E 85TH ST
GARFIELD HTS OH
44125-2009
US

IV. Provider business mailing address

4965 E 85TH ST
GARFIELD HTS OH
44125-2009
US

V. Phone/Fax

Practice location:
  • Phone: 216-375-1719
  • Fax:
Mailing address:
  • Phone: 216-375-1719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: