Healthcare Provider Details
I. General information
NPI: 1376764753
Provider Name (Legal Business Name): RUTH R WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/01/2007
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
131 SANDERS FERRY RD SUITE 203
HENDERSONVILLE TN
37075
US
IV. Provider business mailing address
PO BOX 155
HENDERSONVILLE TN
37077-1155
US
V. Phone/Fax
- Phone: 615-822-1222
- Fax: 615-822-8306
- Phone: 615-822-1222
- Fax: 615-822-8306
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 3083 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: