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NPI Code Detail

MEDICARE: KENDRA M WILLIAMS LMHC

MEDICARE: KENDRA M WILLIAMS LMHC
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
1101Y00000XCounselorMH14545FL
2101YP2500XProfessional CounselorMH14545FL
3251S00000XCommunity/Behavioral Health Agency
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5101YM0800XMental Health CounselorMH14545FL

Other Identifiers

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

General Provider Information

NPI Number : 1689051237
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA M WILLIAMS LMHC
Provider Business Mailing Address
First Line : 8400 N UNIVERSITY DR STE 315
Second Line :
City : TAMARAC
State : FL
Zip : 33321-1713
Country : US
Telephone Number : 954-650-2631
Fax Number :
Provider Business Practice Location Address
First Line : 920 NW 7TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33311-7229
Country : US
Telephone Number : 954-779-3990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2015
Last Update Date : 03/03/2022

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Directions to “ KENDRA M WILLIAMS LMHC” Practice Location

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