Healthcare Provider Details

I. General information

NPI: 1750279212
Provider Name (Legal Business Name): TONI YVETTE WILLIAMS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8995 HICKORY TRAIL DR
CORDOVA TN
38018-6918
US

IV. Provider business mailing address

8995 HICKORY TRAIL DR
CORDOVA TN
38018-6918
US

V. Phone/Fax

Practice location:
  • Phone: 901-210-6479
  • Fax:
Mailing address:
  • Phone: 901-210-6479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License NumberM10530
License Number StateMS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: