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NPI Code Detail

MEDICARE: LAKISHA M WILLIAMS DHA, CRNP, PMHNP-BC

MEDICARE: LAKISHA M WILLIAMS DHA, CRNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR159166MD

General Provider Information

NPI Number : 1174120935
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKISHA M WILLIAMS DHA, CRNP, PMHNP-BC
Provider Business Mailing Address
First Line : 14605 ELM ST UNIT 1153
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20773-7541
Country : US
Telephone Number : 202-681-6633
Fax Number :
Provider Business Practice Location Address
First Line : 13400 EDGEMEADE RD
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-8088
Country : US
Telephone Number : 301-358-0192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2020
Last Update Date : 02/26/2026

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