MEDICARE: SONYA ELAINE WILLIAMS CT

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
1	101YP2500X	Professional Counselor	E.2505640	OH
2	101YP2500X	Professional Counselor	C.2103500-TRNE	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669141685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA ELAINE WILLIAMS CT

Provider Business Mailing Address
First Line	:	1957 TEMBLETHURST RD
Second Line	:
City	:	SOUTH EUCLID
State	:	OH
Zip	:	44121-3715
Country	:	US
Telephone Number	:	121-629-6629
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2021
Last Update Date	:	05/11/2026

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