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NPI Code Detail

MEDICARE: ANDREYA NICOLE WILLIAMS

MEDICARE: ANDREYA NICOLE WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194976OH

General Provider Information

NPI Number : 1033070255
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREYA NICOLE WILLIAMS
Provider Business Mailing Address
First Line : 551 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 551 E MAIN ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3809
Country : US
Telephone Number : 740-974-4881
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2025
Last Update Date : 01/27/2026

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